Provider Demographics
NPI:1821288598
Name:EPSTEIN, JODIE CARYN (MSN,APN)
Entity Type:Individual
Prefix:MRS
First Name:JODIE
Middle Name:CARYN
Last Name:EPSTEIN
Suffix:
Gender:F
Credentials:MSN,APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 COMLY RD
Mailing Address - Street 2:E23
Mailing Address - City:LINCOLN PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07035-1126
Mailing Address - Country:US
Mailing Address - Phone:973-706-5856
Mailing Address - Fax:
Practice Address - Street 1:275 FOREST AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-5428
Practice Address - Country:US
Practice Address - Phone:201-265-5300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00133300363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health