Booth, Jamie Lynn

Booth, Jamie Lynn is an individual health care provider with primary practice located at 27300 Iris Ave , Moreno Valley CA 92555-4802. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Booth, Jamie Lynn can be contacted via phone (951) 243-2018.

Contact Information

Primary practice address
27300 Iris Ave Moreno Valley CA 92555-4802
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA21124 California

Profile Details

NPI number 1457655938
LBN Legal business name Booth, Jamie Lynn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2010
Last updated Apr 10th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers