Individual
JAMIE A. CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
5201 HARRY HINES BLVD, WISH CAMPUS, DALLAS, TX 75235-7708
(214) 590-4085
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
257440
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197898301
—
TX
05
—
197898302
—
TX
05
—
197898303
—
TX
05
—
197898304
—
TX
05
—
197898305
—
TX
05
—
197898306
—
TX
05
—
197898307
—
TX
05
—
197898308
—
TX
05
—
197898309
—
TX
05
—
197898310
—
TX
01
—
8Y9324
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/05/2009
Last updated
04/14/2009
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