Individual
MS. JENEVA STOUDEMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, ANP-BC
Contact information
Practice address
184 S LIVINGSTON AVE, SUITE 9128, LIVINGSTON, NJ 07039-3014
(973) 280-5528
Mailing address
184 S LIVINGSTON AVE, SUITE 9128, LIVINGSTON, NJ 07039-3014
(973) 280-5528
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00392600
NJ
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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