Individual
DR. JAMIE NADINE MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, PMHNP
Contact information
Practice address
625 VIRGINIA AVE STE 1, NORTH BEND, OR 97459-3425
(830) 370-3765
Mailing address
63673 SEVEN DEVILS RD, COOS BAY, OR 97420-7679
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
202100949RN
OR
363L00000X
Nurse Practitioner
Primary
202110251NP
OR
Other
Enumeration date
09/07/2021
Last updated
10/02/2023
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