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Export Provider Record NPI 1124402904
Jennifer Grande ChieppaNP-C
Active
NPI Number1124402904
NPI TypeNPI-1 Individual
SpecialtyNurse Practitioner
Provider Details
NPI1124402904
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2015-07-12
Last Updated2022-08-30
Mailing AddressPo Box 416457
Boston, MA 02241-6457
United States
Phone: (844) 362-1735 | Fax: (973) 290-7495
📍 View Map
Primary Practice Address385 Morris Ave
Springfield, NJ 07081-1151
United States
Phone: (733) 792-1119 | Fax: (973) 379-2807
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No363LA2200X – Nurse Practitioner, Adult HealthNJ26NJ00574400
No363LG0600X – Nurse Practitioner, GerontologyNJ26NJ00574400
No363LP2300X – Nurse Practitioner, Primary CareNJ26NJ00574400
Yes363L00000X – Nurse PractitionerNJ25NJ00574400
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About NPI 1124402904

Jennifer Grande Chieppa NP-C is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1124402904. The primary specialty listed is Nurse Practitioner. The provider is located in Springfield, NJ. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2015-07-12. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1124402904?

NPI 1124402904 belongs to Jennifer Grande Chieppa NP-C, a Nurse Practitioner in Springfield, NJ. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1124402904 active?

The current status of NPI 1124402904 in the NPPES registry is Active. The record was last updated on 2022-08-30.

What specialty is NPI 1124402904?

NPI 1124402904 is classified under the taxonomy Nurse Practitioner. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1124402904?

You can verify NPI 1124402904 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1124402904?

The primary practice address on file for NPI 1124402904 is 385 Morris Ave, Springfield, NJ 07081-1151. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1124402904 issued?

NPI 1124402904 was first issued (enumerated) on 2015-07-12. The NPPES record was last updated on 2022-08-30.

Practice Location Map

Jennifer Grande Chieppa is located at 385 Morris Ave, Springfield, NJ. Use the map below to find directions or verify the practice location.

📍 385 Morris Ave, Springfield, NJ 07081-1151  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Jennifer Grande Chieppa. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1124402904. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Nurse Practitioner, Adult Health26NJ00574400NJ
Nurse Practitioner, Gerontology26NJ00574400NJ
Nurse Practitioner, Primary Care26NJ00574400NJ
Nurse Practitioner25NJ00574400NJ
Data Verified from CMS NPPES Last synced: 2026-06-30 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162