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NPI Code Detail

MEDICARE: SHIRLEE F JAMISON

MEDICARE: SHIRLEE F JAMISON
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1689983454
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIRLEE F JAMISON
Provider Business Mailing Address
First Line : 1101 HAWTHORNE LN APT 264
Second Line :
City : CHARLOTTE
State : NC
Zip : 28205-2982
Country : US
Telephone Number : 980-229-2426
Fax Number :
Provider Business Practice Location Address
First Line : 301 MCCULLOUGH DR STE 400
Second Line :
City : CHARLOTTE
State : NC
Zip : 28262-1336
Country : US
Telephone Number : 980-229-2426
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2010
Last Update Date : 01/15/2026

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Directions to “ SHIRLEE F JAMISON ” Practice Location

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