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NPI Code Detail

MEDICARE: JENNA CARNIVAL

MEDICARE:   JENNA  CARNIVAL
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
1363LF0000XFamily Nurse Practitioner26NJ15454000NJ

General Provider Information

NPI Number : 1619828878
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNA CARNIVAL
Provider Business Mailing Address
First Line : 600 KINGS HWY N
Second Line :
City : CHERRY HILL
State : NJ
Zip : 08034-1505
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 600 KINGS HWY N
Second Line :
City : CHERRY HILL
State : NJ
Zip : 08034-1505
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2026
Last Update Date : 02/04/2026

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Directions to “ JENNA CARNIVAL ” Practice Location

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