Healthcare Provider Details

I. General information

NPI: 1427355189
Provider Name (Legal Business Name): JOY MARIE STOHLBERG FNP-BC, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/16/2011
Last Update Date: 02/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 SCHALKS CROSSING RD
PLAINSBORO NJ
08536-1604
US

IV. Provider business mailing address

3108 PINHORN DR
BRIDGEWATER NJ
08807-3519
US

V. Phone/Fax

Practice location:
  • Phone: 609-275-9312
  • Fax:
Mailing address:
  • Phone: 774-364-5387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ00429700
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number614680
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number285430
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number26NR16485000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: