Healthcare Provider Details
I. General information
NPI: 1679062855
Provider Name (Legal Business Name): JAMIE MCCARTNEY PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/03/2018
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1650 38TH ST STE 100E
BOULDER CO
80301-2624
US
IV. Provider business mailing address
6200 HABITAT DR APT 1050
BOULDER CO
80301-3233
US
V. Phone/Fax
- Phone: 720-802-8527
- Fax: 800-507-0164
- Phone: 720-802-8527
- Fax: 800-507-0164
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | RN.1635805 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | APN.0997328-NP |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: