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Individual
JEAN LIVINGSTON
Active
Individual
JEAN LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
284645
SC
363LP2300X
Primary Care Nurse Practitioner
Primary
30955
SC
Other
Enumeration date
09/02/2025
Last updated
09/26/2025
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