Provider Demographics
NPI:1578938494
Name:KELLY, JULIE (APN-C)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:KELLY
Suffix:
Gender:F
Credentials:APN-C
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:YOSKOWITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APN-C
Mailing Address - Street 1:80 CONOVER RD
Mailing Address - Street 2:
Mailing Address - City:MARLBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:07746-1003
Mailing Address - Country:US
Mailing Address - Phone:732-946-9444
Mailing Address - Fax:
Practice Address - Street 1:80 CONOVER RD
Practice Address - Street 2:
Practice Address - City:MARLBORO
Practice Address - State:NJ
Practice Address - Zip Code:07746-1003
Practice Address - Country:US
Practice Address - Phone:732-946-9444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-03
Last Update Date:2024-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00606000363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily