Provider Demographics
NPI:1932369493
Name:SKINNER, GENI L (RN)
Entity type:Individual
Prefix:
First Name:GENI
Middle Name:L
Last Name:SKINNER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:344 ROUTE 9 STE 5
Mailing Address - Street 2:BOX 222
Mailing Address - City:LANOKA HARBOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08734-2830
Mailing Address - Country:US
Mailing Address - Phone:609-971-3580
Mailing Address - Fax:609-971-3580
Practice Address - Street 1:344 ROUTE 9 STE 5
Practice Address - Street 2:BOX 222
Practice Address - City:LANOKA HARBOR
Practice Address - State:NJ
Practice Address - Zip Code:08734-2830
Practice Address - Country:US
Practice Address - Phone:609-971-3580
Practice Address - Fax:609-971-3580
Is Sole Proprietor?:No
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO10720300163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse