Provider Demographics
NPI:1801120944
Name:VENIS, JOYCE A (AD,RN-BC)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:A
Last Name:VENIS
Suffix:
Gender:F
Credentials:AD,RN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 GRESS ST
Mailing Address - Street 2:
Mailing Address - City:MANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08835-1133
Mailing Address - Country:US
Mailing Address - Phone:732-656-0388
Mailing Address - Fax:
Practice Address - Street 1:1120 GRESS ST
Practice Address - Street 2:
Practice Address - City:MANVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08835-1133
Practice Address - Country:US
Practice Address - Phone:732-656-0388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-22
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26N004904400101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health