Individual
MS. JAMIE A RACKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
4 ETHEL RD, SUITE 402, EDISON, NJ 08817-2841
(732) 287-3643
Mailing address
4 ETHEL RD, SUITE 402, EDISON, NJ 08817-2841
(732) 287-3643
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR11571700
NJ
163W00000X
Registered Nurse
RN543343
PA
363LW0102X
Women's Health Nurse Practitioner
Primary
26NJ00261400
NJ
363LW0102X
Women's Health Nurse Practitioner
SP009288
PA
367A00000X
Advanced Practice Midwife
MW010124
PA
Other
Enumeration date
04/08/2006
Last updated
10/08/2012
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