Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 26NJ00419000 | NJ |
NPI | 1023376100 |
---|---|
Provider Name | Ms. Barbara Jachimowicz |
First Address | Mount Holly, NJ 08060-1450 |
Second Address | Mount Holly, NJ 08060-1450 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2012 |
Last Update Date | 23/01/2015 |