Provider Demographics
NPI:1851410302
Name:HARRIS-ERWIN, JEAN (APN-C)
Entity Type:Individual
Prefix:
First Name:JEAN
Middle Name:
Last Name:HARRIS-ERWIN
Suffix:
Gender:F
Credentials:APN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 COPPER PENNY RD
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-5576
Mailing Address - Country:US
Mailing Address - Phone:908-782-2274
Mailing Address - Fax:
Practice Address - Street 1:2100 WESCOTT DRIVE
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822
Practice Address - Country:US
Practice Address - Phone:908-788-6474
Practice Address - Fax:908-788-6616
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2009-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00003200363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health