Stormer, Jamie

Stormer, Jamie is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-4006. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Stormer, Jamie can be contacted via phone (352) 627-9350.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-4006
Phone: (352) 627-9350
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PY10143 Florida

Profile Details

NPI number 1083183115
LBN Legal business name Stormer, Jamie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2018
Last updated Jan 25th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083183115 NPPES
Florida MEDICAID 101521200

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