Provider Demographics
NPI:1194372086
Name:PIAGGIO, JOANNE (MSN, RN, PMHNP, B-C)
Entity Type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:
Last Name:PIAGGIO
Suffix:
Gender:F
Credentials:MSN, RN, PMHNP, B-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08722-3338
Mailing Address - Country:US
Mailing Address - Phone:732-674-3688
Mailing Address - Fax:
Practice Address - Street 1:2911 ROUTE 88
Practice Address - Street 2:
Practice Address - City:POINT PLEASANT BORO
Practice Address - State:NJ
Practice Address - Zip Code:08742-2871
Practice Address - Country:US
Practice Address - Phone:732-295-1008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-24
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00948200363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health