Jeffannie Krystel Tan Duan
Jeffannie Krystel Tan Duan is a Nurse Practitioner in Kenilworth, New Jersey. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in New Jersey.
- Years since qualifying
- 1
- Licensed in
- NJ
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
41 N 11th StKenilworth, NJ 07033-1519
Phone: (551) 689-3615
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Specialties & licences
| Women's Health Nurse Practitioner (primary) | Taxonomy 363LW0102X · Licence 26NJ15441100 (NJ) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 26NR21080700 (NJ) |
Record details
| NPI number | 1477389310 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 9, 2024 |
| Last updated in NPPES | October 11, 2025 |
| Certification date | October 11, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 3 on file with Medicare |