Individual
DR. JAMIE TOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP FNP-C
Contact information
Practice address
333 MONTANO RD NW STE A1, ALBUQUERQUE, NM 87107-5200
(505) 777-3003
Mailing address
PO BOX 740018, ATLANTA, GA 30374-0018
(773) 759-7550
(312) 929-0373
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
65999
NM
363LP2300X
Primary Care Nurse Practitioner
AP60696288
WA
Other
Enumeration date
12/22/2016
Last updated
05/26/2023
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