Provider Demographics
NPI:1720254824
Name:MCELVEEN, JENNIFER (CRNP:)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:MCELVEEN
Suffix:
Gender:
Credentials:CRNP:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 159
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08007-0159
Mailing Address - Country:US
Mailing Address - Phone:888-982-8594
Mailing Address - Fax:888-920-1525
Practice Address - Street 1:PO BOX 159
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08007-0159
Practice Address - Country:US
Practice Address - Phone:888-982-8594
Practice Address - Fax:888-920-1525
Is Sole Proprietor?:No
Enumeration Date:2008-05-08
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP009373363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health