Healthcare Provider Details
I. General information
NPI: 1841270881
Provider Name (Legal Business Name): JAMIE METCALF DAUT M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/17/2006
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
PCS 490 BOX 7723
FPO AP
96538
UM
IV. Provider business mailing address
PCS 490 BOX 7723
FPO AP
96538
UM
V. Phone/Fax
- Phone: 671-344-9443
- Fax:
- Phone: 671-344-9443
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | LD00002571 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: