Provider Demographics
NPI:1588918460
Name:SOSA, JAMIE (CNM)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:SOSA
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2500 ENGLISH CREEK AVE
Mailing Address - Street 2:SUITE 214
Mailing Address - City:EGG HARBOR TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08234-5549
Mailing Address - Country:US
Mailing Address - Phone:609-677-7211
Mailing Address - Fax:609-677-7210
Practice Address - Street 1:2500 ENGLISH CREEK AVE
Practice Address - Street 2:SUTIE 214
Practice Address - City:EGG HARBOR TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08234-5549
Practice Address - Country:US
Practice Address - Phone:609-677-7211
Practice Address - Fax:609-677-7210
Is Sole Proprietor?:No
Enumeration Date:2012-10-31
Last Update Date:2014-01-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25ME00052401367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife