Individual
JAMIE LYNN APPLEGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1447
(773) 702-1000
Mailing address
1546 N ORLEANS ST APT 505, CHICAGO, IL 60610-2460
(810) 341-4309
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
4704285256
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704285256
MI
Other
Enumeration date
08/10/2016
Last updated
08/02/2019
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