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Organization

JCM CONSULTING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMIE MACKNET ARNP (MANAGING MEMBER)
(909) 645-4005
Entity
Organization

Contact information

Practice address
25815 BARTON RD, LOMA LINDA, CA 92354-3893
(909) 799-8620
(909) 799-1708
Mailing address
512 LANTERN CREST DR, REDLANDS, CA 92373-7281
(909) 645-4005
(909) 799-1708

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
163WD0400X
Diabetes Educator Registered Nurse
163WP1700X
Perinatal Registered Nurse
163WR1000X
Reproductive Endocrinology/Infertility Registered Nurse
163WX0002X
High-Risk Obstetric Registered Nurse
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
207VX0000X
Obstetrics Physician
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
208D00000X
General Practice Physician
261Q00000X
Clinic/Center
Primary
363L00000X
Nurse Practitioner
364S00000X
Clinical Nurse Specialist
405300000X
Prevention Professional

Other

Enumeration date
05/22/2019
Last updated
05/22/2019
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