Individual
JAMIE BAYHAM ST. ROMAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
102 S 2ND ST, EUNICE, LA 70535-4608
(337) 457-3135
Mailing address
102 S 2ND ST, EUNICE, LA 70535-4608
(337) 457-3135
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08292
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2410393
—
LA
01
—
478123YPRK
MEDICARE PTAN-GROUP
LA
Enumeration date
11/18/2015
Last updated
03/28/2016
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