Individual provider · Type 1 NPI

Justin Ydo, AGNP-C

Nurse Practitioner · West Orange, NJ

NPI number 1043089303 Active

Practice location

776 Northfield Ave Ste 101
West Orange, NJ 07052-1140

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X26NJ14981300 (NJ)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1043089303

Justin Ydo, AGNP-C's National Provider Identifier is 1043089303, issued on Dec 28, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in West Orange, NJ. The record was last updated on Aug 1, 2024.