Individual
EMMA C STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, APNC
Contact information
Practice address
444 NEPTUNE BLVD FL 2, NEPTUNE, NJ 07753-4800
(732) 775-5300
(732) 775-1737
Mailing address
27 SOUTH COOKS BRIDGE ROAD, SUITE 2-3, JACKSON, NJ 08527-2524
(732) 994-7855
(732) 242-6688
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00016400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8911703
—
NJ
Enumeration date
07/07/2005
Last updated
09/26/2016
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