Provider Demographics
NPI:1194870691
Name:KINGS, JOAN (RN, MSN, CNS, CRNP)
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:
Last Name:KINGS
Suffix:
Gender:F
Credentials:RN, MSN, CNS, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 BAY BREEZE DR
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-2112
Mailing Address - Country:US
Mailing Address - Phone:215-220-4559
Mailing Address - Fax:215-631-8064
Practice Address - Street 1:28 BAY BREEZE DR
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-2112
Practice Address - Country:US
Practice Address - Phone:215-220-4559
Practice Address - Fax:215-631-8064
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP007829363LP0808X
DEL-80010706363LP0808X
DEL8-0010706363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA554057E91Medicare ID - Type Unspecified
PAS37531Medicare UPIN