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NPI Code Detail

MEDICARE: MRS. JAMIE LYNN MCGUIRE MS, AG-ACNP-BC

MEDICARE: MRS. JAMIE LYNN MCGUIRE MS, AG-ACNP-BC
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
1363LA2100XAcute Care Nurse PractitionerCOA.15963-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 : 1598179863
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JAMIE LYNN MCGUIRE MS, AG-ACNP-BC
Provider Business Mailing Address
First Line : 6256 KYLE CT
Second Line :
City : MIDDLETOWN
State : OH
Zip : 45042-8955
Country : US
Telephone Number : 513-465-7943
Fax Number : 937-759-0549
Provider Business Practice Location Address
First Line : 9049 SPRINGBORO PIKE
Second Line :
City : MIAMISBURG
State : OH
Zip : 45342-4926
Country : US
Telephone Number : 937-759-0545
Fax Number : 937-759-0549
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2014
Last Update Date : 12/06/2023

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