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Individual
JAYMIE LOPEZ
Active
Individual
JAYMIE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, PMHNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2017041070
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2019040545
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95021023
CA
Other
Enumeration date
10/28/2019
Last updated
06/22/2026
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