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NPI Code Detail

MEDICARE: JAMEA K JAMISON PR70068417

MEDICARE: JAMEA K JAMISON PR70068417
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator
2175T00000XPeer Specialist
3175T00000XPeer SpecialistPR70068417WA

General Provider Information

NPI Number : 1063185460
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMEA K JAMISON PR70068417
Provider Business Mailing Address
First Line : 1302 W GARDNER AVE
Second Line :
City : SPOKANE
State : WA
Zip : 99201-2059
Country : US
Telephone Number : 509-503-6010
Fax Number : 833-597-8372
Provider Business Practice Location Address
First Line : 1302 W GARDNER AVE
Second Line :
City : SPOKANE
State : WA
Zip : 99201-2059
Country : US
Telephone Number : 509-503-6010
Fax Number : 833-597-8372
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2021
Last Update Date : 02/05/2026

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Directions to “ JAMEA K JAMISON PR70068417” Practice Location

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