Jeneva Stoudemire, MSN, RN, ANP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00392600 Issued in NJ

Practice address

184 S Livingston Ave
Suite 9128
Livingston, NJ 07039-3014

Phone

(973) 280-5528

NPI assigned

Oct 3, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1619304706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 S LIVINGSTON AVE",
            "address_2": "SUITE 9128",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393014",
            "telephone_number": "973-280-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 S LIVINGSTON AVE",
            "address_2": "SUITE 9128",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393014",
            "telephone_number": "973-280-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUDEMIRE",
        "first_name": "JENEVA",
        "name_prefix": "Ms.",
        "credential": "MSN, RN, ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00392600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Anna Marie Stoll, PA-C
• Ellen Stoloff, DPT
• Linda E. Stone, D.M.D
• Vanna Nicole Stone, D.M.D.
• Amy Stoner, OTR
• Courtney Stout
• Mariusz Ryszard Strus, APN
• Sabrina Stuart, LCSW
• Benjamin Stueben, M.D.
• Harry Stulbach, MD

• Adult Health Nurse Practitioner in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.