Jan Michael Acampado
Nurse Practitioner, Gerontology in Livingston, NJ. Individual provider (NPI-1).
NPI number1487427001
StatusActive
Last updated in NPPESAug 20, 2024
Details
- NPI
- 1487427001
- Entity type
- Individual (NPI-1)
- Name
- Jan Michael Acampado
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 6, 2023
- Certification date
- Aug 20, 2024
- Last updated
- Aug 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | 26NJ14930000 | NJ | Yes |
| 363LA2200X | Nurse Practitioner, Adult Health | 26NJ14930000 | NJ |
Practice location
94 Old Short Hills RdLivingston, NJ 07039-5672
Phone 973-322-8010
Mailing address
94 Old Short Hills RdLivingston, NJ 07039-5672
Phone 973-322-8010
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