Individual
JENNIFER LEVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
35 COURT ST STE 1C, FREEHOLD, NJ 07728-1709
(609) 582-4700
(279) 300-3710
Mailing address
55 STILLWELL RD, KENDALL PARK, NJ 08824-1433
(732) 881-3158
(279) 300-3710
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
26NJ00414700
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00414700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22-3052989
TAX ID #
NJ
Enumeration date
11/20/2012
Last updated
01/25/2023
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