Provider Demographics
NPI:1245476761
Name:O'CONNOR-BECKER, JUDY MARIE (CLINICAL NURSE SPEC)
Entity type:Individual
Prefix:MRS
First Name:JUDY
Middle Name:MARIE
Last Name:O'CONNOR-BECKER
Suffix:
Gender:F
Credentials:CLINICAL NURSE SPEC
Other - Prefix:
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Mailing Address - Street 1:115 W SWEETBRIAR RD
Mailing Address - Street 2:
Mailing Address - City:WILDWOOD CREST
Mailing Address - State:NJ
Mailing Address - Zip Code:08260-1367
Mailing Address - Country:US
Mailing Address - Phone:609-234-2481
Mailing Address - Fax:856-566-6236
Practice Address - Street 1:667 SHUNPIKE RD STE 3
Practice Address - Street 2:
Practice Address - City:GREEN VILLAGE
Practice Address - State:NJ
Practice Address - Zip Code:07935-3021
Practice Address - Country:US
Practice Address - Phone:609-234-2481
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-06
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00178700364SP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0807XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Child & Adolescent