JAMES JUSTOFIN CRNP LLC NPI 1942836572

NPI Information

  • NPI: 1942836572
  • Provider Name: JAMES JUSTOFIN CRNP LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 463 RIDGE RD
    TELFORD, PA
    ZIP 18969
  • Phone: (610) 316-1164

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NPI Details

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
1261QP3300XClinic/CenterPainNo
2363LF0000XNurse PractitionerFamilyYes

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
1103760433-0001MEDICAIDPENNSYLVANIA

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: 3/30/2025

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