Mendoza, Jaime Renee

Mendoza, Jaime Renee is an sole proprietor health care provider with primary practice located at 6805 State Route 162 Ste 201 , Maryville IL 62062. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Mendoza, Jaime Renee can be contacted via phone (618) 288-5019.

Contact Information

Primary practice address
6805 State Route 162 Ste 201 Maryville IL 62062
Phone: (618) 288-5019
Fax: (618) 288-5059
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 27700144 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209010309 Illinois

Profile Details

NPI number 1689915811
LBN Legal business name Mendoza, Jaime Renee
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2013
Last updated Mar 19th, 2024 - about last year

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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