Provider Demographics
NPI:1750651063
Name:PROPERT, JAYNE YOUNG (APN-RN, MSN)
Entity Type:Individual
Prefix:MISS
First Name:JAYNE
Middle Name:YOUNG
Last Name:PROPERT
Suffix:
Gender:F
Credentials:APN-RN, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 ALBANY RD
Mailing Address - Street 2:
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-5201
Mailing Address - Country:US
Mailing Address - Phone:732-682-6102
Mailing Address - Fax:
Practice Address - Street 1:29 ALBANY RD
Practice Address - Street 2:
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753-5201
Practice Address - Country:US
Practice Address - Phone:732-682-6102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-03
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR13479200163WP0200X
NJ26NJ00425700363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics