Provider Demographics
NPI:1609129238
Name:FORIK, JENNIFER ADELE (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:ADELE
Last Name:FORIK
Suffix:
Gender:F
Credentials:CRNP
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Mailing Address - Street 1:1330 POWELL ST
Mailing Address - Street 2:STE 100
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-3353
Mailing Address - Country:US
Mailing Address - Phone:610-272-1080
Mailing Address - Fax:610-270-0163
Practice Address - Street 1:1330 POWELL ST
Practice Address - Street 2:STE 100
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-3353
Practice Address - Country:US
Practice Address - Phone:610-272-1080
Practice Address - Fax:610-270-0163
Is Sole Proprietor?:No
Enumeration Date:2012-10-19
Last Update Date:2017-02-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PASP012301363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner