Individual
MICHELLE LYNN JUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1640 S BLACK HORSE PIKE, WILLIAMSTOWN, NJ 08094-9247
(973) 661-8300
(973) 661-8333
Mailing address
76 MILL ST, MEDFORD, NJ 08055-9301
(609) 790-1111
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ01013400
NJ
Other
Enumeration date
02/12/2020
Last updated
01/29/2025
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