Jeffannie Krystel Tan Duan, is a
Registered Nurse based in Kenilworth, New Jersey. Jeffannie Krystel Tan Duan is licensed to practice in New Jersey (license number 26NR21080700) and her current practice location is
41 N 11th St, Kenilworth, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(551) 689-3615.
NPI number for Jeffannie Krystel Tan Duan is 1477389310 and her current mailing address is 41 N 11th St, Kenilworth, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477389310.
Provider's Profile
Full Name | Jeffannie Krystel Tan Duan |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 41 N 11th St, Kenilworth, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1477389310
- Provider Enumeration Date: 09/09/2024
- Last Update Date: 09/09/2024
Medical Identifiers
Medical identifiers for Jeffannie Krystel Tan Duan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477389310 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 26NR21080700 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jeffannie Krystel Tan Duan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jeffannie Krystel Tan Duan, 41 N 11th St, Kenilworth, NJ 07033-1519 Ph: () - | Jeffannie Krystel Tan Duan, 41 N 11th St, Kenilworth, NJ 07033-1519 Ph: (551) 689-3615 |
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