# JAMIE FAUTH

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

## Provider details

- **NPI number:** 1396098455
- **Gender:** F
- **Credential:** PMHNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 402897 | NY | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 95002650 | CA | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP124349 | TX | — |

## Other

- **Enumeration date:** 10/25/2012
- **Last updated:** 09/06/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 325599402 | — | TX |