Healthcare Provider Details
I. General information
NPI: 1629273693
Provider Name (Legal Business Name): JOY MARKO APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/19/2007
Last Update Date: 11/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
666 PLAINSBORO RD SUITE #1300
PLAINSBORO NJ
08536-3030
US
IV. Provider business mailing address
3 ELEANOR LN POB 39
ROOSEVELT NJ
08555-7003
US
V. Phone/Fax
- Phone: 609-750-1521
- Fax:
- Phone: 609-443-6818
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 26NJ00023700 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: