Individual
JOY M JAKUBOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
143 ASCENSION ST, PASSAIC, NJ 07055-3515
(845) 445-8224
Mailing address
119 BLUE MEADOW LN, SICKLERVILLE, NJ 08081-9394
(856) 834-0091
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
26NJ00686200
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ00686200
NJ
Other
Enumeration date
12/20/2016
Last updated
12/20/2016
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