Simon, Jamie W
Simon, Jamie W is an individual health care provider with primary practice located at N112W17975 Mequon Rd , Germantown WI 53022-2425. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Simon, Jamie W can be contacted via phone (262) 532-7600.Contact Information
Primary practice address
N112W17975 Mequon Rd
Germantown WI 53022-2425
Phone: (262) 532-7600
Fax: (262) 532-7602
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 2182 | Wisconsin |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2182033 | Wisconsin |
Profile Details
NPI number | 1336204973 |
---|---|
LBN Legal business name | Simon, Jamie W |
Credentials | FNP, APNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 26th, 2006 |
Last updated | Sep 14th, 2023 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1336204973 | NPPES |
Wisconsin | MEDICAID | 36022600 | |
Wisconsin | MEDICAID | 1336204973 |
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