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Individual
JAMIE TAVERNIER
Active
Individual
JAMIE TAVERNIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
554156-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026.0146584
REGISTERED NURSE LICENSE
VT
01
—
554156-01
REGISTERED NURSE LICENSE
NY
Enumeration date
11/18/2022
Last updated
11/18/2022
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