JAMES JUSTOFIN CRNP LLC NPI 1942836572

NPI Information

NPI: 1942836572
Provider Name: JAMES JUSTOFIN CRNP LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
463 RIDGE RD
TELFORD, PA
ZIP 18969
Phone: (610) 316-1164
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JAMES JUSTOFIN CRNP LLC is a family nurse practitioner in Telford, PA. JAMES JUSTOFIN CRNP LLC NPI is 1942836572. The provider is registered as an organization entity type.

The provider's business location address is:

463 RIDGE RD
TELFORD, PA
ZIP 18969-440
Phone: (610) 316-1164
Fax: (866) 292-3662

The provider's authorized official is James Justofin .
The authorized official title is Sole Proprietor/provider and has the following contact phone number (610) 316-1164.

The enumeration date for this NPI number is 3/15/2020 and was last updated on 6/24/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP3300X	Clinic/Center	Pain			No
2	363LF0000X	Nurse Practitioner	Family			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	103760433-0001	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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