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Individual
JAMIE FAUTH
Active
Individual
JAMIE FAUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
402897
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95002650
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP124349
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
325599402
—
TX
Enumeration date
10/25/2012
Last updated
09/06/2022
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