Provider Demographics
NPI:1932541034
Name:HENN, JOYCE (APN,B-C)
Entity Type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:
Last Name:HENN
Suffix:
Gender:F
Credentials:APN,B-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1821 SOUTH M STREET
Mailing Address - Street 2:
Mailing Address - City:WALL
Mailing Address - State:NJ
Mailing Address - Zip Code:07719
Mailing Address - Country:US
Mailing Address - Phone:732-776-4195
Mailing Address - Fax:
Practice Address - Street 1:211 SHREWSBURY AVE.
Practice Address - Street 2:PARKER FAMILY HEALTH CENTER
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701
Practice Address - Country:US
Practice Address - Phone:732-212-0777
Practice Address - Fax:732-212-9030
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-18
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ0034800363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care