Individual
JAMIE FLYTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2704 N OAK ST BLDG C2, VALDOSTA, GA 31602-1795
(229) 474-6933
(888) 815-1851
Mailing address
13364 BEACH BLVD UNIT 409, JACKSONVILLE, FL 32224-0266
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
9582156
FL
363L00000X
Nurse Practitioner
Primary
RN291974
GA
363LF0000X
Family Nurse Practitioner
11032352
FL
Other
Enumeration date
03/18/2024
Last updated
04/28/2025
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