| Doctor Name: | MS. JOYCE LYNN FELICIANO |
| NPI Number: | 1891799474 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NPC |
| License Number: | 069135 |
| Business Practice Address: | 288 Boulevard Hasbrouck Heights, NJ - 076041315 |
| Business Phone Number: | 2012886781 |
| Business Fax Number: | 2012882734 |
| Mailing Address: | 470c Liberty St, Apt 312 LITTLE FERRY |
| State: | NJ |
| Postal Code: | 076431011 |
| Phone Number: | 2014408881 |
| Fax Number: | 2012882734 |
| NPI Enumeration Date: | 06/10/2005 |
| NPI Last Update Date: | 06/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 069135 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |