Healthcare Provider Details

I. General information

NPI: 1174438584
Provider Name (Legal Business Name): YULONDA LEVETT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98 OAK ST APT 4108
CLEMENTON NJ
08021-2460
US

IV. Provider business mailing address

98 OAK ST APT 4108
CLEMENTON NJ
08021-2460
US

V. Phone/Fax

Practice location:
  • Phone: 609-672-7538
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number26NP07844400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: