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NPI Code Detail

MEDICARE: JAMIE M HAIN CNP

MEDICARE: JAMIE M HAIN CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerRN173920OH
2364SP0809XAdult Psychiatric/Mental Health Clinical Nurse SpecialistRN173920OH
3363LP0808XPsychiatric/Mental Health Nurse PractitionerCOA.06522-NPOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477567063
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE M HAIN CNP
Provider Business Mailing Address
First Line : 2980 BELMONT AVE
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44505-1834
Country : US
Telephone Number : 330-759-2310
Fax Number : 330-759-0018
Provider Business Practice Location Address
First Line : 2980 BELMONT AVE
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44505-1834
Country : US
Telephone Number : 330-759-2310
Fax Number : 330-759-0018
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2006
Last Update Date : 11/14/2013

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