Provider Demographics
NPI:1053146050
Name:BORKOWSKI, JAMIE LEE (APRN)
Entity type:Individual
Prefix:
First Name:JAMIE LEE
Middle Name:
Last Name:BORKOWSKI
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1849 SE 5TH ST
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33990-1602
Mailing Address - Country:US
Mailing Address - Phone:262-385-9080
Mailing Address - Fax:
Practice Address - Street 1:1849 SE 5TH ST
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33990-1602
Practice Address - Country:US
Practice Address - Phone:262-385-9080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-09
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11034992363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care