Individual
JAMIE FEICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
700 E BROAD ST, HAZLETON, PA 18201-6835
(570) 501-4193
Mailing address
1605 N CEDAR CREST BLVD STE 411, ALLENTOWN, PA 18104-2323
(484) 330-1377
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NPPA066821
PA
363L00000X
Nurse Practitioner
RN537092
PA
363LF0000X
Family Nurse Practitioner
Primary
SP025401
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP025401
STATE LICENSE
PA
Enumeration date
03/01/2022
Last updated
06/02/2025
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