Proctor, J'Laine

Proctor, J'Laine is an individual health care provider with primary practice located at 1465 N 4Th St Suite #119, Laramie WY 82072-2066. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Proctor, J'Laine can be contacted via phone (307) 721-0700.

Contact Information

Primary practice address
1465 N 4Th St Suite #119 Laramie WY 82072-2066
Phone: (307) 721-0700
Fax: (307) 721-1039
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 199070282 Wyoming
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 19907.0282 Wyoming

Profile Details

NPI number 1558373340
LBN Legal business name Proctor, J'Laine
Credentials FNP-BC, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Oct 22nd, 2011 - about 13 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 1558373340 NPPES
Wyoming MEDICAID 120576500

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