Individual
JENNIFER LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1200 JUMPING BROOK RD, BLDG 5, STE 201, NEPTUNE, NJ 07753
(732) 643-4363
(732) 643-4376
Mailing address
19 DAVIS AVE-9TH FL BEHAVIORAL HEATLH, MERIDIAN MEDICAL GROUP-FACULTY CARE, NEPTUNE, NJ 07753
(732) 897-3640
(732) 897-3639
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00083700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080292
—
NJ
01
—
095869B25
MEDICARE
NJ
Enumeration date
07/18/2006
Last updated
04/23/2019
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