Individual
JAIME R. CALLAGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
205 CORNERSTONE DR, WILLISTON, VT 05495-4035
(802) 878-8330
(802) 878-8344
Mailing address
PO BOX 979, WILLISTON, VT 05495-0979
(028) 878-8330
(802) 878-8344
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
101.0134133
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982029542
VIRGINIA PREMIER HEALTH PLAN
VA
05
—
1982029542
—
NC
05
—
1982029542
—
VA
Enumeration date
02/19/2014
Last updated
10/24/2018
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