JEFFANNIE KRYSTEL TAN DUAN NPI 1477389310

NPI Information

  • NPI: 1477389310
  • Provider Name: JEFFANNIE KRYSTEL TAN DUAN
  • Classification: Nurse Practitioner - 363LW0102X
  • Specialization: Women's Health
  • Entity Type: Individual
  • Address: 41 N 11TH ST
    KENILWORTH, NJ
    ZIP 07033
  • Phone: (551) 689-3615

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NPI Details

Jeffannie Krystel Tan Duan is a women's health nurse practitioner in Kenilworth, NJ. Jeffannie Krystel Tan Duan NPI is 1477389310. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

41 N 11TH ST
KENILWORTH, NJ
ZIP 07033-519
Phone: (551) 689-3615

The enumeration date for this NPI number is 9/9/2024 and was last updated on 10/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse26NR21080700NEW JERSEYNo
2363LW0102XNurse PractitionerWomen's Health26NJ15441100NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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