Provider Demographics
NPI:1083614499
Name:CURRY, JACQUALYN GAYLE (CRNP)
Entity Type:Individual
Prefix:
First Name:JACQUALYN
Middle Name:GAYLE
Last Name:CURRY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3336 DURHAM RD
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18902-1857
Mailing Address - Country:US
Mailing Address - Phone:410-842-3680
Mailing Address - Fax:
Practice Address - Street 1:2721 BRUNSWICK AVE
Practice Address - Street 2:MINUTE CLINIC,
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-4106
Practice Address - Country:US
Practice Address - Phone:410-842-3680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-28
Last Update Date:2016-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR067076363LF0000X
NY331781363LF0000X
VA0024172126363LF0000X
PAVP001240B363LF0000X
NJ26NN03874000363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily