Individual provider · Type 1 NPI

Jennifer Tedera Tan, APN

Gerontology Nurse Practitioner · Livingston, NJ

NPI number 1083429070 Active

Practice location

94 Old Short Hills Rd
Livingston, NJ 07039-5672

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X26NJ15228700 (NJ)
Acute Care Nurse Practitioner 363LA2100X26NJ15228700 (NJ)
Nurse Practitioner 363L00000X26NJ15228700 (NJ)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1083429070

Jennifer Tedera Tan, APN's National Provider Identifier is 1083429070, issued on Feb 8, 2025. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Livingston, NJ. The record was last updated on Jan 9, 2026.