Individual
JAMIE WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
84 W SOUTH STREET, WILKES-BARRE, PA 18701
(602) 388-0888
Mailing address
4343 N 16TH ST, PHOENIX, AZ 85016-5338
(602) 388-0888
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
289350
AZ
Other
Enumeration date
03/20/2023
Last updated
03/04/2025
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