Individual
JAMIE MARIE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
51 W 51ST ST, NEW YORK, NY 10019-6113
(212) 305-4308
Mailing address
301 W 107TH ST APT 5W, NEW YORK, NY 10025-2793
(661) 350-6088
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F383569
NY
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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