Healthcare Provider Details

I. General information

NPI: 1164855268
Provider Name (Legal Business Name): JENNIFER SIKORSKI PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER LANCE PA-C

II. Dates (important events)

Enumeration Date: 08/13/2013
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 BOWMAN DR LOWR LEVEL2
VOORHEES NJ
08043-9612
US

IV. Provider business mailing address

413 SOUTH CRANFORD RD
CHERRY HILL NJ
08003
US

V. Phone/Fax

Practice location:
  • Phone: 856-247-2160
  • Fax: 856-247-2165
Mailing address:
  • Phone: 856-912-6397
  • Fax: 215-957-2875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number25MP00311500
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number25MP00311500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: