Kenice Kenlock, CPNP-C, APN, RN - Nurse Practitioner in East Orange, NJ

Kenice Kenlock, CPNP-C, APN, RN is a Nurse Practitioner - Pediatrics based in East Orange, New Jersey. Kenice Kenlock is licensed to practice in New Jersey (license number 26NJ01398000) and her current practice location is 190 S Harrison St, East Orange, New Jersey. She can be reached at her office (for appointments etc.) via phone at (197) 367-4837.

NPI number for Kenice Kenlock is 1083211171 and her current mailing address is 2-12 Hillside Ave Apt 207, Newark, New Jersey. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083211171.

Contact Information

Kenice Kenlock, CPNP-C, APN, RN
190 S Harrison St,
East Orange, NJ 07018-1502
(197) 367-4837
Not Available

Map and Direction




Provider's Profile

Full NameKenice Kenlock
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location190 S Harrison St, East Orange, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083211171
  • Provider Enumeration Date: 10/02/2020
  • Last Update Date: 11/23/2022

Medical Identifiers

Medical identifiers for Kenice Kenlock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083211171NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 802427 (New York)Secondary
363LP0200XNurse Practitioner - Pediatrics 26NJ01398000 (New Jersey)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenice Kenlock is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kenice Kenlock, CPNP-C, APN, RN
2-12 Hillside Ave Apt 207,
Newark, NJ 07108-2856

Ph: (347) 703-7814
Kenice Kenlock, CPNP-C, APN, RN
190 S Harrison St,
East Orange, NJ 07018-1502

Ph: (197) 367-4837

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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