Ott, Jamie J

Ott, Jamie J is an individual health care provider with primary practice located at 2122 Troy Rd Ste 130 , Edwardsville IL 62025-2540. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Ott, Jamie J can be contacted via phone (618) 800-4500.

Contact Information

Primary practice address
2122 Troy Rd Ste 130 Edwardsville IL 62025-2540
Phone: (618) 800-4500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209003494 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209003494 Illinois

Profile Details

NPI number 1285673780
LBN Legal business name Ott, Jamie J
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Oct 15th, 2021 - about 3 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 1285673780 NPPES
Illinois Other 006015346 BLUE CROSS BLUE SHIELD OF
Illinois Other 500012843 BLUE CROSS BLUE SHIELD OF

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