Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 26NJ00510600 | NJ |
N | 363LA2200X | Nurse Practitioner - Adult Health | 306992 | NY |
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 26NJ00510600 | NJ |
NPI | 1013329085 |
---|---|
Provider Name | Alison Griffin |
First Address | Marlboro, NJ 07746-1809 |
Second Address | Brick, NJ 08724-2320 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2014 |
Last Update Date | 22/06/2021 |