Individual
JENNIFER TEDERA TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039-5672
(973) 322-5000
Mailing address
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039-5672
(973) 978-4249
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ15228700
NJ
363LA2100X
Acute Care Nurse Practitioner
26NJ15228700
NJ
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ15228700
NJ
Other
Enumeration date
02/08/2025
Last updated
01/09/2026
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