Healthcare Provider Details
I. General information
NPI: 1376940833
Provider Name (Legal Business Name): JAMIE LEE RHYND CPNP PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/28/2014
Last Update Date: 07/10/2024
Certification Date: 07/10/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
210 WHITING ST STE 7
HINGHAM MA
02043-3724
US
IV. Provider business mailing address
210 WHITING ST STE 7
HINGHAM MA
02043-3724
US
V. Phone/Fax
- Phone: 833-311-0407
- Fax: 877-384-3122
- Phone: 833-311-0407
- Fax: 877-384-3122
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0200X |
| Taxonomy | Pediatric Nurse Practitioner |
| License Number | RN276124 |
| License Number State | MA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | RN276124 |
| License Number State | MA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: