Landreth, Jamie Shari

Landreth, Jamie Shari is an individual health care provider with primary practice located at 2604 Saint Michael Dr Ste 425 , Texarkana TX 75503-2378. 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. Landreth, Jamie Shari can be contacted via phone (903) 614-5600.

Contact Information

Primary practice address
2604 Saint Michael Dr Ste 425 Texarkana TX 75503-2378
Phone: (903) 614-5600
Fax: (903) 614-5630
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA06337 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-336 Arkansas

Profile Details

NPI number 1518131945
LBN Legal business name Landreth, Jamie Shari
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2008
Last updated Mar 11th, 2024 - about 9 months 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 1518131945 NPPES
Arkansas Other PA-336 LICENSE #
Arkansas Other P02599453 LICENSE #
Arkansas Other 1F4890 LICENSE #
Arkansas MEDICAID 200263770A LICENSE #
Arkansas Other PA06337 LICENSE #

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