Individual provider · Type 1 NPI

Mary Jane Kopakowski

Nurse Practitioner · Haddon Heights, NJ

NPI number 1124132816 Active

Practice location

210 W Atlantic Ave
Haddon Heights, NJ 08035-1715

Call (856) 546-3003 Map

Fax (856) 547-3178

Mailing address

120 White Horse Pike, Suite 112
Haddon Heights, NJ 08035-1927

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X26NJ00105300 (NJ)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1124132816

Mary Jane Kopakowski's National Provider Identifier is 1124132816, issued on Aug 18, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Haddon Heights, NJ. The record was last updated on Oct 31, 2007.