Provider Demographics
NPI:1528454568
Name:BERKOWITZ, JENNIFER KRISTIN (CRNP)
Entity type:Individual
Prefix:MISS
First Name:JENNIFER
Middle Name:KRISTIN
Last Name:BERKOWITZ
Suffix:
Gender:F
Credentials:CRNP
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Mailing Address - Street 1:41 UNIVERSITY DR STE 300
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1873
Mailing Address - Country:US
Mailing Address - Phone:215-710-5522
Mailing Address - Fax:215-710-5181
Practice Address - Street 1:1203 LANGHORNE NEWTOWN RD STE 336
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1236
Practice Address - Country:US
Practice Address - Phone:215-322-5042
Practice Address - Fax:215-322-5043
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-07
Last Update Date:2021-05-18
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Provider Licenses
StateLicense IDTaxonomies
PASP014787363LF0000X, 363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily