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NPI Code Detail

MEDICARE: JONATHA A MORVAN

MEDICARE:   JONATHA A MORVAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner26NR18188600NJ

General Provider Information

NPI Number : 1376479287
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHA A MORVAN
Provider Business Mailing Address
First Line : 93 GODWIN AVE
Second Line :
City : ELMWOOD PARK
State : NJ
Zip : 07407-2817
Country : US
Telephone Number : 973-941-3475
Fax Number :
Provider Business Practice Location Address
First Line : 134 WALNUT ST
Second Line :
City : LIVINGSTON
State : NJ
Zip : 07039-2513
Country : US
Telephone Number : 973-462-0496
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2026
Last Update Date : 06/18/2026

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Directions to “ JONATHA A MORVAN ” Practice Location

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