Provider Demographics
NPI:1942890280
Name:KATKAUSKAITE, JURGITA (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:JURGITA
Middle Name:
Last Name:KATKAUSKAITE
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:438 HAMILTON AVE
Mailing Address - Street 2:
Mailing Address - City:PERTH AMBOY
Mailing Address - State:NJ
Mailing Address - Zip Code:08861-1627
Mailing Address - Country:US
Mailing Address - Phone:732-925-7010
Mailing Address - Fax:
Practice Address - Street 1:318 STOCKTON ST
Practice Address - Street 2:
Practice Address - City:PERTH AMBOY
Practice Address - State:NJ
Practice Address - Zip Code:08861-3910
Practice Address - Country:US
Practice Address - Phone:732-376-6012
Practice Address - Fax:732-638-1041
Is Sole Proprietor?:No
Enumeration Date:2021-01-20
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01079100363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily