Provider Demographics
NPI:1154039915
Name:BROWN, JOSLYNN TAYLOR (RN)
Entity type:Individual
Prefix:
First Name:JOSLYNN
Middle Name:TAYLOR
Last Name:BROWN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:194 LESTER AVE
Mailing Address - Street 2:
Mailing Address - City:WEST BERLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08091-1635
Mailing Address - Country:US
Mailing Address - Phone:856-673-9128
Mailing Address - Fax:
Practice Address - Street 1:200 HADDONFIELD BERLIN RD STE 100
Practice Address - Street 2:
Practice Address - City:GIBBSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08026-1239
Practice Address - Country:US
Practice Address - Phone:609-846-5115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-10
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR24370400163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse