Individual
AILEEN J JASKO JOYCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
100 E LANCASTER AVE, SUITE 108, WYNNEWOOD, PA 19096-3450
(610) 645-3400
Mailing address
163 ALYSSA DR, MOUNT ROYAL, NJ 08061-1068
(856) 224-4941
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP007549
PA
Other
Enumeration date
10/27/2005
Last updated
07/08/2007
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