Healthcare Provider Details

I. General information

NPI: 1962844902
Provider Name (Legal Business Name): JAIME ALLISON SNYDER PMHNP, FNP, CARN-AP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2013
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3440 TORINGDON WAY STE 205
CHARLOTTE NC
28277-3191
US

IV. Provider business mailing address

7369 SHERIDAN ST STE 203
HOLLYWOOD FL
33024-2776
US

V. Phone/Fax

Practice location:
  • Phone: 980-375-6657
  • Fax: 980-375-6658
Mailing address:
  • Phone: 984-283-0333
  • Fax: 984-283-0433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number5017295
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: