Individual
JOY O BLAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPC
Contact information
Practice address
2333 WHITEHORSE MERCERVILLE RD, STE 4, MERCERVILLE, NJ 08619-1946
(609) 890-9111
(609) 890-6865
Mailing address
2333 WHITEHORSE MERCERVILLE RD, STE 4, MERCERVILLE, NJ 08619-1946
(609) 890-9111
(609) 890-6865
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
Q26728
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0054470
—
NJ
Enumeration date
02/28/2006
Last updated
09/27/2007
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