Crumley, Jamie Lynn

Crumley, Jamie Lynn is an individual health care provider with primary practice located at 610 E Baseline Rd Ste 5 , Phoenix AZ 85042-6536. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Crumley, Jamie Lynn can be contacted via phone (602) 230-7373.

Contact Information

Primary practice address
610 E Baseline Rd Ste 5 Phoenix AZ 85042-6536
Phone: (602) 230-7373
Fax: (602) 441-5836
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 221347 Arizona
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN169018 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP221347 Arizona

Profile Details

NPI number 1629532387
LBN Legal business name Crumley, Jamie Lynn
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2019
Last updated Dec 27th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629532387 NPPES
Arizona MEDICAID 495818

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