Provider Demographics
NPI:1518238005
Name:PEAY, MARY JO A (APN)
Entity Type:Individual
Prefix:
First Name:MARY JO
Middle Name:A
Last Name:PEAY
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1 RAMBLING WOODS DR
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960
Mailing Address - Country:US
Mailing Address - Phone:973-984-3733
Mailing Address - Fax:972-628-8256
Practice Address - Street 1:1 RAMBLING WOODS DR
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960
Practice Address - Country:US
Practice Address - Phone:973-647-2494
Practice Address - Fax:972-628-8256
Is Sole Proprietor?:No
Enumeration Date:2012-01-16
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00331000363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care