Individual
LISA JOYCE ROUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
20 MAIN ST, FLANDERS, NJ 07836-9112
(973) 534-0255
Mailing address
20 MAIN ST, FLANDERS, NJ 07836-9112
(973) 534-0255
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00796300
NJ
363L00000X
Nurse Practitioner
5020452
NC
Other
Enumeration date
04/10/2018
Last updated
09/11/2024
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