Provider Demographics
NPI:1457790263
Name:COLMAN, JOANN (APN)
Entity Type:Individual
Prefix:MRS
First Name:JOANN
Middle Name:
Last Name:COLMAN
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1017 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:GLOUCESTER
Mailing Address - State:NJ
Mailing Address - Zip Code:08030
Mailing Address - Country:US
Mailing Address - Phone:856-456-1042
Mailing Address - Fax:856-456-8830
Practice Address - Street 1:1017 MARKET ST
Practice Address - Street 2:
Practice Address - City:GLOUCESTER
Practice Address - State:NJ
Practice Address - Zip Code:08030
Practice Address - Country:US
Practice Address - Phone:856-456-1042
Practice Address - Fax:856-456-8830
Is Sole Proprietor?:No
Enumeration Date:2013-06-14
Last Update Date:2013-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00441700363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health