MEDICARE: MR. JOHN KIRBY TOMPKINS IV APRN FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	26NJ00515600	NJ

General Provider Information

NPI Number	:	1306247457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOHN KIRBY TOMPKINS IV APRN FNP-BC

Provider Business Mailing Address
First Line	:	PO BOX 593
Second Line	:
City	:	CAPE MAY COURT HOUSE
State	:	NJ
Zip	:	08210-0593
Country	:	US
Telephone Number	:	609-463-2755
Fax Number	:

Provider Business Practice Location Address
First Line	:	336 96TH ST STE 1
Second Line	:
City	:	STONE HARBOR
State	:	NJ
Zip	:	08247-1439
Country	:	US
Telephone Number	:	609-967-0070
Fax Number	:	609-967-0077

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2014
Last Update Date	:	05/14/2024

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