Provider Demographics
NPI:1447986393
Name:STAUFFER, JOCELYN LEE
Entity type:Individual
Prefix:
First Name:JOCELYN
Middle Name:LEE
Last Name:STAUFFER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JOCELYN
Other - Middle Name:
Other - Last Name:MACDOUGALL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:671 NEWTOWN YARDLEY RD
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1716
Mailing Address - Country:US
Mailing Address - Phone:215-364-5800
Mailing Address - Fax:
Practice Address - Street 1:671 NEWTOWN YARDLEY RD
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1716
Practice Address - Country:US
Practice Address - Phone:215-364-5800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-25
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN724345163WP0200X
PASPO26142363LP0200X
PASP026142363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163WP0200XNursing Service ProvidersRegistered NursePediatrics