Provider Demographics
NPI:1215448402
Name:SKELLY, JOY ELLEN MONTGOMERY (FNP)
Entity type:Individual
Prefix:MS
First Name:JOY ELLEN
Middle Name:MONTGOMERY
Last Name:SKELLY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:JOYELLEN
Other - Middle Name:MONTGOMERY
Other - Last Name:SKELLY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:167 WILLETS AVE
Mailing Address - Street 2:
Mailing Address - City:LITTLE EGG HARBOR TWP
Mailing Address - State:NJ
Mailing Address - Zip Code:08087-9772
Mailing Address - Country:US
Mailing Address - Phone:609-290-9848
Mailing Address - Fax:
Practice Address - Street 1:1140 ROUTE 72 W
Practice Address - Street 2:
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050-2412
Practice Address - Country:US
Practice Address - Phone:609-597-6011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-16
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00730900363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily