Basic Information
Provider Information
NPI: 1306822309
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WOODS
FirstName: JOYCE
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: RN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 16 BEVERLY RD
Address2:  
City: TOWN BANK
State: NJ
PostalCode: 082042245
CountryCode: US
TelephoneNumber: 6098869094
FaxNumber:  
Practice Location
Address1: 1 MUNRO DR
Address2:  
City: CAPE MAY
State: NJ
PostalCode: 082045000
CountryCode: US
TelephoneNumber: 6098986368
FaxNumber: 6098986962
Other Information
ProviderEnumerationDate: 12/21/2005
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WA2000XRN195825LPAY Nursing Service ProvidersRegistered NurseAdministrator

No ID Information.


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