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

Debra Fenderson-Ivery

Individual provider Adult Health Nurse Practitioner · NPI 1902306624

Debra Fenderson-Ivery is a Nurse Practitioner in Hainesport, New Jersey. Qualified in 2015, 11 years ago. Practices with Naspac1 LLC, a 13-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
11
Licensed in
NJ
In the registry since
2018

Practice location Address checks out

404 Creek Crossing Blvd
Hainesport, NJ 08036-2768
Phone: (609) 845-3988
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 26NJ00743900 (NJ)

Record details

NPI number1902306624
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 19, 2018
Last updated in NPPESFebruary 19, 2018
Mailing address404 Creek Crossing Blvd, Hainesport, NJ 08036-2768

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Naspac1 Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Hainesport