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Individual

JAMIE KAYE WEIS

Active
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Individual

JAMIE KAYE WEIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
R211084
MD
363LP0200X
Pediatric Nurse Practitioner
0024174289
VA
363LP0200X
Pediatric Nurse Practitioner
Primary
209020734
IL
363LP0200X
Pediatric Nurse Practitioner
R211084
MD

Other

Enumeration date
10/01/2013
Last updated
09/21/2020
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