Provider Demographics
NPI:1992008205
Name:NEAL, JENNIFER STEADMAN (ANP)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:STEADMAN
Last Name:NEAL
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 HASLIN ST
Mailing Address - Street 2:PO BOX 310
Mailing Address - City:BELHAVEN
Mailing Address - State:NC
Mailing Address - Zip Code:27810-1464
Mailing Address - Country:US
Mailing Address - Phone:252-943-6144
Mailing Address - Fax:252-943-2038
Practice Address - Street 1:216 HASLIN ST
Practice Address - Street 2:
Practice Address - City:BELHAVEN
Practice Address - State:NC
Practice Address - Zip Code:27810-1464
Practice Address - Country:US
Practice Address - Phone:252-943-6144
Practice Address - Fax:252-943-2038
Is Sole Proprietor?:No
Enumeration Date:2010-12-08
Last Update Date:2010-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA1010056363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health