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Individual

JAMIE PETKOVIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APN

Contact information

Practice address
354 HURFFVILLE CROSSKEYS RD BLDG 2, SEWELL, NJ 08080-3550
(856) 582-0381
(844) 542-2273
Mailing address
354 HURFFVILLE CROSSKEYS RD BLDG 2, SEWELL, NJ 08080-3550
(856) 582-0381
(844) 542-2273

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
969351
NY
363LF0000X
Family Nurse Practitioner
26NJ01094100
NJ
363LF0000X
Family Nurse Practitioner
Primary
355594
NY

Other

Enumeration date
01/13/2021
Last updated
10/22/2025
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