Provider Demographics
NPI:1275766776
Name:WHEELOCK, JAURI LUV (APN-C)
Entity Type:Individual
Prefix:MRS
First Name:JAURI
Middle Name:LUV
Last Name:WHEELOCK
Suffix:
Gender:F
Credentials:APN-C
Other - Prefix:MISS
Other - First Name:JAURI
Other - Middle Name:LUV
Other - Last Name:GREER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:312 PROFESSIONAL VIEW DR
Mailing Address - Street 2:BUILDING 300
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-7904
Mailing Address - Country:US
Mailing Address - Phone:732-431-1616
Mailing Address - Fax:732-866-7962
Practice Address - Street 1:312 PROFESSIONAL VIEW DR
Practice Address - Street 2:BUILDING 300
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-7904
Practice Address - Country:US
Practice Address - Phone:732-431-1616
Practice Address - Fax:732-866-7962
Is Sole Proprietor?:No
Enumeration Date:2009-08-31
Last Update Date:2015-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00243000363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily