Provider Demographics
NPI:1265293302
Name:LEMA, JAN IRENE IRENE (NP)
Entity type:Individual
Prefix:
First Name:JAN IRENE
Middle Name:IRENE
Last Name:LEMA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:579 WINCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-7913
Mailing Address - Country:US
Mailing Address - Phone:908-265-4766
Mailing Address - Fax:
Practice Address - Street 1:579 WINCHESTER AVE
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-7913
Practice Address - Country:US
Practice Address - Phone:908-265-4766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ14991000363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care