Provider Demographics
NPI:1043027931
Name:MSWABUKI, JOYCE NONTOKOZO (AGPCNP-BC)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:NONTOKOZO
Last Name:MSWABUKI
Suffix:
Gender:F
Credentials:AGPCNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1540 E MATISSE DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-9804
Mailing Address - Country:US
Mailing Address - Phone:302-559-3666
Mailing Address - Fax:
Practice Address - Street 1:1540 E MATISSE DR
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-9804
Practice Address - Country:US
Practice Address - Phone:302-559-3666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-13
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELP-0010838363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care