Individual provider Active NPI

Jenna Carnival

  • Family Nurse Practitioner
  • Cherry Hill, NJ
National Provider Identifier
1619828878
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15454000 Issued in NJ
Practice address
315 Route 70 E Ste a
Cherry Hill, NJ 08034-2408
Phone
(856) 375-6240
Fax
(856) 375-6241
NPI assigned
Feb 4, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ15454000 NJ Primary

Addresses

Primary practice location

315 Route 70 E Ste a
Cherry Hill, NJ 08034-2408

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 375-6240

Other practice location 1

600 Kings Hwy N
Cherry Hill, NJ 08034-1505
Phone (866) 389-2727

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jcarnival138025@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260306001133 NJ Practitioner - Nurse Practitioner 5698257715 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of New Jersey LLCGroup PAC ID 8527142439, 112 clinicians

Practice addresses (Care Compare)

600 Kings Hwy N
Cherry Hill, NJ 08304-1505
Phone (866) 387-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26NJ15454000NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Primary Care New Jersey LLC Family CurrentSince Feb 23, 2026 Accepting new patients
Minuteclinic Diagnostic of New Jersey LLC Family CurrentSince Feb 23, 2026 Accepting new patients

Locations

600 Kings Hwy N
Cherry Hill, NJ 08034
Phone (856) 365-0341

600 Kings Hwy N
Unit 8304
Cherry Hill, NJ 08002
Phone (866) 387-2727

600 Kings Hwy N
Ste 7
Cherry Hill, NJ 08034
Phone (856) 482-2282

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1770163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1619828878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-375-6240",
            "fax_number": "856-375-6241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 ROUTE 70 E STE A",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342408",
            "telephone_number": "856-375-6240",
            "fax_number": "856-375-6241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Kings Hwy N",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080341505",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARNIVAL",
        "first_name": "JENNA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-02-04",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15454000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcarnival138025@directvirtua.org",
            "affiliation": "N",
            "address_1": "315 Route 70 E Ste A",
            "city": "Cherry Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080342408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.