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Individual
MRS. JAMIE R TRUELOVE
Active
Individual
MRS. JAMIE R TRUELOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001429
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000773360
ANTHEM PROVIDER ID
IN
05
—
200400000
—
IN
01
—
DN9587
RAILROAD MEDICARE GROUP PTAN
IN
01
—
P01074995
RAILROAD MEDICARE
IN
Enumeration date
03/09/2006
Last updated
07/21/2022
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