Healthcare Provider Details

I. General information

NPI: 1073492856
Provider Name (Legal Business Name): JAYMIE YEE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2025
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8705 W BAYAUD AVE
LAKEWOOD CO
80226-1236
US

IV. Provider business mailing address

8705 W BAYAUD AVE
LAKEWOOD CO
80226-1236
US

V. Phone/Fax

Practice location:
  • Phone: 480-427-8186
  • Fax:
Mailing address:
  • Phone: 480-427-8186
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN1683284
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: