# JAYMIE LOPEZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1144864679
- **Gender:** F
- **Credential:** FNP, PMHNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | 2017041070 | MO | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 2019040545 | MO | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 95021023 | CA | Yes |

## Other

- **Enumeration date:** 10/28/2019
- **Last updated:** 06/22/2026