Provider Demographics
NPI:1689170235
Name:JOLADE, ELSIE A (DNP, FNP-BC, APRN)
Entity Type:Individual
Prefix:MRS
First Name:ELSIE
Middle Name:A
Last Name:JOLADE
Suffix:
Gender:F
Credentials:DNP, FNP-BC, APRN
Other - Prefix:MS
Other - First Name:ELSIE
Other - Middle Name:A
Other - Last Name:AKINDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1955 MARIA ELANA DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08094-3485
Mailing Address - Country:US
Mailing Address - Phone:631-355-0612
Mailing Address - Fax:
Practice Address - Street 1:4510 CHURCH RD
Practice Address - Street 2:
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-2210
Practice Address - Country:US
Practice Address - Phone:856-439-0060
Practice Address - Fax:856-452-0344
Is Sole Proprietor?:No
Enumeration Date:2018-04-03
Last Update Date:2018-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00810900363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily