Frederick, Jamie Lynne

Frederick, Jamie Lynne is an individual health care provider with primary practice located at 508 Medical Park , Wheeling WV 26003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Frederick, Jamie Lynne can be contacted via phone (304) 243-8916.

Contact Information

Primary practice address
508 Medical Park Wheeling WV 26003
Phone: (304) 243-8916
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 51393 West Virginia

Profile Details

NPI number 1821299975
LBN Legal business name Frederick, Jamie Lynne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2007
Last updated Dec 10th, 2007 - about 18 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 1821299975 NPPES
West Virginia MEDICAID 3810010317

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