Provider Demographics
NPI:1639259013
Name:WEBB-WILLIAMS, JOANNE (ANP-C)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:WEBB-WILLIAMS
Suffix:
Gender:F
Credentials:ANP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 GREENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-3607
Mailing Address - Country:US
Mailing Address - Phone:201-247-9577
Mailing Address - Fax:
Practice Address - Street 1:12 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-3211
Practice Address - Country:US
Practice Address - Phone:973-429-4850
Practice Address - Fax:973-429-4811
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2010-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN06957700363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ01227829400OtherAMERICHOICE OF NJ
NJ29932OtherUHP
NJ60010262OtherHORIZON NJ HEALTH
NJ8016909Medicaid
NJ60005247OtherHORIZON NJ HEALTH
NJ2K5591OtherHNET
NJ60005408OtherHORIZON NJ HEALTH
NJ90276OtherAMERICAID
NJ29932OtherUHP