Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFANNIE KRYSTEL TAN DUAN
Active Sole ProprietorJEFFANNIE KRYSTEL TAN DUAN is a Women's Health Nurse Practitioner healthcare provider located in KENILWORTH, New Jersey. NPI 1477389310 is currently active in the NPPES registry. Verify at CMS.
Women's Health Nurse Practitioner · KENILWORTH, NJ
Registration Details
- NPI Number
- 1477389310
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 9, 2024 (1.9731097358532 yrs)
- Last Updated
- Oct 11, 2025
- Licenses
-
26NR21080700 (NJ)26NJ15441100 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
41 N 11TH STKENILWORTH, NJ, 070331519Browse NJ providers · Browse ZIP 07033
- Phone
- 5516893615
- Primary Specialty
-
Women's Health Nurse Practitioner
363LW0102X
- Additional Specialty
- Women's Health Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.