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

Heather Lynne Provence, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1295221612

Heather Lynne Provence, PMHNP is a Nurse Practitioner in New Providence, New Jersey. Qualified in 2018, 8 years ago. Practices with Summit Medical Group PA, a 1,205-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey and New York.

Years since qualifying
8
Licensed in
NJ, NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

890 Mountain Ave Behavioral Health & Cognitive Therapy
New Providence, NJ 07974
Phone: (908) 277-8900
Fax: (908) 508-8919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 26NJ01289400 (NJ)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence F402394-1 (NY)

Record details

NPI number1295221612
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedJuly 9, 2018
Last updated in NPPESJuly 3, 2023
Certification dateJuly 3, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Summit Medical Group Pa — 1205 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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