Individual
MS. JAMIE LANE NIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
403 BLACK HILLS LN SW STE B, OLYMPIA, WA 98502-8600
(360) 709-9500
(360) 754-4517
Mailing address
403 BLACK HILLS LN SW STE B, OLYMPIA, WA 98502-8600
(360) 709-9500
(360) 754-4517
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10005075
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8464158
—
WA
01
—
P00346592
RAILROAD MEDICARE
—
Enumeration date
10/02/2006
Last updated
03/07/2023
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