Healthcare Provider Details

I. General information

NPI: 1275368375
Provider Name (Legal Business Name): KAYLA JOYCE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/06/2024
Last Update Date: 09/09/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

147 PIERCE ST
SOMERSET NJ
08873-4176
US

IV. Provider business mailing address

159 PLAINSBORO RD
CRANBURY NJ
08512-2602
US

V. Phone/Fax

Practice location:
  • Phone: 732-838-4942
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ15116300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: