Maynard, Jamiley C

Maynard, Jamiley C is an individual health care provider with primary practice located at 2723 S 7Th Street Suite C, Terre Haute IN 47802-3558. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Maynard, Jamiley C can be contacted via phone (812) 232-5936.

Contact Information

Primary practice address
2723 S 7Th Street Suite C Terre Haute IN 47802-3558
Phone: (812) 232-5936
Fax: (812) 235-1290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71001096A Indiana

Profile Details

NPI number 1689897886
LBN Legal business name Maynard, Jamiley C
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Jul 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689897886 NPPES
Indiana MEDICAID 200822620

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