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Mental Health Nourishment

Psychiatric/Mental Health Nurse Practitioner in South Orange, NJ · enumerated 2017 · authorized official Lissa Edmond, Apn.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366989881

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Registry record

Entity type Organization (Type 2)
Legal business name Mental Health Nourishment
Practice address 81 2nd St, Suite 8, South Orange, NJ, 07079
Enumeration date Jan 22, 2017
Last updated in NPPES Apr 20, 2017

Taxonomy & classification

363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 26NJ00627000 (NJ) Primary

Authorized official

Name Lissa Edmond
Title Apn

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2017-04-20. Verify at npiregistry.cms.hhs.gov.
Where is Mental Health Nourishment located?
The practice location on file with NPPES is in South Orange, NJ.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-04-20.