| Doctor Name: | MS. JAN CARLIN KHOURI |
| NPI Number: | 1043238033 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 26NJ00096700 |
| Business Practice Address: | 522 Oritani Pl Teaneck, NJ - 076661638 |
| Business Phone Number: | 9179685126 |
| Business Fax Number: | |
| Mailing Address: | 522 Oritani Pl, TEANECK |
| State: | NJ |
| Postal Code: | 076661638 |
| Phone Number: | 9179685126 |
| Fax Number: | |
| NPI Enumeration Date: | 07/17/2006 |
| NPI Last Update Date: | 01/12/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 26NJ00096700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |