Physician Compare National (NPI:1851856934)

HEALTHCARE PROVIDER: JAMIE LAMB FNP

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1851856934
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5193146496
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200521002331
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PHILLIPS
	Individual professional last name
Provider First Name	JAMIE
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2018
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	16465 SIERRA LAKES PKWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 220
	Group Practice or individual's line 2 address
City	FONTANA
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	923361242
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y