Individual
MRS. JAMIE CHEREE MACKNET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
25815 BARTON RD STE 103, LOMA LINDA, CA 92354-3894
(909) 799-8620
(877) 821-6331
Mailing address
512 LANTERN CREST DR, REDLANDS, CA 92373-7281
(909) 799-0546
(866) 856-0338
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
540481
CA
163WW0101X
Ambulatory Women's Health Care Registered Nurse
540481
CA
163WX0002X
High-Risk Obstetric Registered Nurse
540481
CA
363L00000X
Nurse Practitioner
NP15300
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
NP15300
CA
363LA2200X
Adult Health Nurse Practitioner
NP15300
CA
364S00000X
Clinical Nurse Specialist
CNS2140
CA
364SA2100X
Acute Care Clinical Nurse Specialist
CNS2140
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP 15300
NURSE PRACTITIONER LICENSE
CA
Enumeration date
03/28/2007
Last updated
03/07/2023
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