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

Mrs. Bernadette Nnoli, NP

Individual provider Gerontology Nurse Practitioner · NPI 1104650381

Mrs. Bernadette Nnoli, NP is a Nurse Practitioner in Newark, New Jersey. Qualified in 2024, 2 years ago. Practices with Personal NP Services LLC, a 65-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
2
Licensed in
NJ
In the registry since
2024
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

268 Dr Martin Luther King Jr Blvd
Newark, NJ 07102-2011
Phone: (973) 877-5543
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 26NJ15121000 (NJ)

Record details

NPI number1104650381
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedAugust 29, 2024
Last updated in NPPESAugust 29, 2024
Certification dateAugust 29, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Personal Np Services Llc — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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