Provider Demographics
NPI:1659748978
Name:SCHIFF, JEAN ELLEN (APN)
Entity Type:Individual
Prefix:
First Name:JEAN
Middle Name:ELLEN
Last Name:SCHIFF
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:JEANIE
Other - Middle Name:ELLEN
Other - Last Name:SCHIFF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APN
Mailing Address - Street 1:700 TOWN BANK RD
Mailing Address - Street 2:
Mailing Address - City:NORTH CAPE MAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08204-4411
Mailing Address - Country:US
Mailing Address - Phone:609-602-2199
Mailing Address - Fax:
Practice Address - Street 1:700 TOWN BANK RD
Practice Address - Street 2:
Practice Address - City:NORTH CAPE MAY
Practice Address - State:NJ
Practice Address - Zip Code:08204-4411
Practice Address - Country:US
Practice Address - Phone:609-602-2199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-24
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00593500363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health