Provider Demographics
NPI:1447594460
Name:HARKINS, JUDY E (APN)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:E
Last Name:HARKINS
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 W ELIZABETH LN
Mailing Address - Street 2:
Mailing Address - City:RICHBORO
Mailing Address - State:PA
Mailing Address - Zip Code:18954-1015
Mailing Address - Country:US
Mailing Address - Phone:215-869-8568
Mailing Address - Fax:
Practice Address - Street 1:218 N BROAD ST
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08608-1306
Practice Address - Country:US
Practice Address - Phone:609-989-3242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-15
Last Update Date:2016-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00402400363LP0200X
PASP012922363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics