MEDICARE: JAIME ALLISON SNYDER PMHNP, FNP, CARN-AP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	5017295	NC

General Provider Information

NPI Number	:	1962844902
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAIME ALLISON SNYDER PMHNP, FNP, CARN-AP

Provider Business Mailing Address
First Line	:	7369 SHERIDAN ST STE 203
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-2776
Country	:	US
Telephone Number	:	984-283-0333
Fax Number	:	984-283-0433

Provider Business Practice Location Address
First Line	:	3440 TORINGDON WAY STE 205
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-3191
Country	:	US
Telephone Number	:	980-375-6657
Fax Number	:	980-375-6658

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

Provider Enumeration Date	:	07/18/2013
Last Update Date	:	11/25/2025

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