Basic Information
Provider Information
NPI: 1275871501
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: IORIO
FirstName: JENNIFER
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 301 LIPPINCOTT DR STE 410
Address2:  
City: MARLTON
State: NJ
PostalCode: 080534197
CountryCode: US
TelephoneNumber: 8563550340
FaxNumber: 8563550330
Practice Location
Address1: 1 COOPER PLZ
Address2:  
City: CAMDEN
State: NJ
PostalCode: 081031461
CountryCode: US
TelephoneNumber: 8563422000
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/22/2013
LastUpdateDate: 11/17/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/17/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LW0102XSP011591PAN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
363LW0102X26NJ00430700NJY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health

No ID Information.


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