Provider Demographics
NPI:1598593493
Name:LEBO, CHRISTEN (FNP-BC)
Entity type:Individual
Prefix:
First Name:CHRISTEN
Middle Name:
Last Name:LEBO
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 DRAKESTOWN RD
Mailing Address - Street 2:
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-5651
Mailing Address - Country:US
Mailing Address - Phone:908-268-0070
Mailing Address - Fax:
Practice Address - Street 1:653 WILLOW GROVE ST STE 2000
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-1789
Practice Address - Country:US
Practice Address - Phone:973-971-4599
Practice Address - Fax:908-813-8323
Is Sole Proprietor?:No
Enumeration Date:2024-07-23
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15101600363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily