Provider Demographics
NPI:1467524751
Name:LOWENSTEINER, JACQUELINE (CNS,APRN,BC)
Entity Type:Individual
Prefix:MRS
First Name:JACQUELINE
Middle Name:
Last Name:LOWENSTEINER
Suffix:
Gender:F
Credentials:CNS,APRN,BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 SPINELLO LN
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07930-2314
Mailing Address - Country:US
Mailing Address - Phone:908-879-7733
Mailing Address - Fax:908-879-7733
Practice Address - Street 1:4 SPINELLO LN
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:NJ
Practice Address - Zip Code:07930-2314
Practice Address - Country:US
Practice Address - Phone:908-879-7733
Practice Address - Fax:908-879-7733
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NC05504500364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJL0960073Medicare ID - Type Unspecified