Healthcare Provider Details

I. General information

NPI: 1821813221
Provider Name (Legal Business Name): JAIME LYNN URKOWITZ APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2024
Last Update Date: 11/21/2024
Certification Date: 11/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 HADDON AVE
CAMDEN NJ
08103-3109
US

IV. Provider business mailing address

1601 HADDON AVE
CAMDEN NJ
08103-3109
US

V. Phone/Fax

Practice location:
  • Phone: 856-757-3700
  • Fax:
Mailing address:
  • Phone: 856-757-3700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number26NJ15137000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: