# JDNA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134039852
- **Authorized official:** FELICIA TYSON (NURSE)
- **Authorized official phone:** (732) 873-1323

## Contact information

- **Practice address:** 401 MAIN STREET, LIVINGSTON, NJ 07023
- **Practice address phone:** (732) 392-0123
- **Mailing address:** 401 MAIN STREET, LIVINGSTON, NJ 07023

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 09/08/2026
- **Last updated:** 09/08/2026