MEDICARE: JAMIE LAUREN MCNATT

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
1	163WS0200X	School Registered Nurse	L1-0030067	DE

General Provider Information

NPI Number	:	1629532031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE LAUREN MCNATT

Provider Business Mailing Address
First Line	:	8 WINCHESTER CT
Second Line	:
City	:	BEAR
State	:	DE
Zip	:	19701-2232
Country	:	US
Telephone Number	:	302-388-9653
Fax Number	:

Provider Business Practice Location Address
First Line	:	1275 CEDAR LANE RD
Second Line	:
City	:	MIDDLETOWN
State	:	DE
Zip	:	19709-9636
Country	:	US
Telephone Number	:	302-696-2000
Fax Number	:	302-696-2001

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2019
Last Update Date	:	01/30/2019

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