Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mental Health Nourishment

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1366989881

Mental Health Nourishment is a Psychiatric/Mental Health Nurse Practitioner in South Orange, New Jersey. Licensed in New Jersey. Registered with an NPI since 2017.

Licensed in
NJ
In the registry since
2017

Practice location Address checks out

81 2nd St Ste 8
South Orange, NJ 07079-1861
Phone: (862) 283-7409
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 26NJ00627000 (NJ)

Record details

NPI number1366989881
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lissa Edmond — Apn · (862) 283-7409
NPI enumeratedJanuary 22, 2017
Last updated in NPPESApril 20, 2017
Mailing address81 2nd St, Suite 8, South Orange, NJ 07079-1861

Other providers in South Orange