Jancy Civichan
Jancy Civichan is a Nurse Practitioner in Pleasantville, New Jersey. Qualified in 2017, 9 years ago. Practices with State of New Jersey Omb Centralized Payroll, a 129-clinician group and accepts Medicare assignment. Licensed in New Jersey.
- Years since qualifying
- 9
- Licensed in
- NJ
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
258 N New RdPleasantville, NJ 08232
Phone: (732) 743-5910
Fax: (732) 994-6993
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence 26NJ00812700 (NJ) |
|---|---|
| Gerontology Registered Nurse | Taxonomy 163WG0600X · Licence 26NJ00812700 (NJ) |
Record details
| NPI number | 1952897829 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 3, 2018 |
| Last updated in NPPES | November 13, 2018 |
| Mailing address | 258 N New Rd, Pleasantville, NJ 08232-2170 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | State Of New Jersey Omb Centralized Payroll — 129 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |