Provider Demographics
NPI:1255968798
Name:FOSTER, JOCELYN ANNE (APN)
Entity type:Individual
Prefix:MRS
First Name:JOCELYN
Middle Name:ANNE
Last Name:FOSTER
Suffix:
Gender:F
Credentials:APN
Other - Prefix:MISS
Other - First Name:JOCELYN
Other - Middle Name:ANNE
Other - Last Name:ELWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:301 LIPPINCOTT DR STE 410
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4197
Mailing Address - Country:US
Mailing Address - Phone:856-355-0340
Mailing Address - Fax:856-355-0330
Practice Address - Street 1:19 W MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:MAPLE SHADE
Practice Address - State:NJ
Practice Address - Zip Code:08052-2411
Practice Address - Country:US
Practice Address - Phone:856-779-7386
Practice Address - Fax:856-779-7563
Is Sole Proprietor?:No
Enumeration Date:2020-03-25
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00989500363LP2300X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care