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Individual
JAMIE LEE WILES
Active
Individual
JAMIE LEE WILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MHNP
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
5012288
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
14085.APRN
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4704280936
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5012288
NC
Other
Enumeration date
11/15/2012
Last updated
03/19/2020
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