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NPI Code Detail

MEDICARE: JAMEE A. TATE MSN, ARNP

MEDICARE: JAMEE A. TATE MSN, ARNP
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 Practitioner9740059-4405UT
2363LF0000XFamily Nurse PractitionerAP60569371WA
3363LF0000XFamily Nurse PractitionerAP118920TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1688537OTHERTXTEXAS LICENSE

General Provider Information

NPI Number : 1912229899
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMEE A. TATE MSN, ARNP
Provider Business Mailing Address
First Line : PO BOX 27128
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84127-0128
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5373 S GREEN ST STE 400
Second Line :
City : MURRAY
State : UT
Zip : 84123-4740
Country : US
Telephone Number : 801-442-5502
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2010
Last Update Date : 06/16/2026

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