Search › New Jersey › 363LW0102X
Jeffannie Krystel Duan
NPI 1477389310 · on the registry since 2024 · sole proprietor
Practice
- Address
- 41 N 11th St
Kenilworth, NJ 07033 - Phone
- (551) 689-3615
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363LW0102X
363LW0102X
- Also registered as
- 163W00000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey