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Individual
MRS. LEE CAROL JAMISON
Active
Individual
MRS. LEE CAROL JAMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN NNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
R859120
MS
364SN0000X
Neonatal Clinical Nurse Specialist
Primary
R859120
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09877843
—
MS
Enumeration date
08/12/2013
Last updated
04/17/2015
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