Provider Demographics
NPI:1023376100
Name:JACHIMOWICZ, BARBARA (APRN)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:JACHIMOWICZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:BARBARA
Other - Middle Name:
Other - Last Name:JACHIMOWICZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APN,C
Mailing Address - Street 1:231 HIGH ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MOUNT HOLLY
Mailing Address - State:NJ
Mailing Address - Zip Code:08060-1450
Mailing Address - Country:US
Mailing Address - Phone:855-674-3627
Mailing Address - Fax:
Practice Address - Street 1:231 HIGH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:MOUNT HOLLY
Practice Address - State:NJ
Practice Address - Zip Code:08060-1450
Practice Address - Country:US
Practice Address - Phone:855-674-3627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-26
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00419000363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health