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NPI Code Detail

MEDICARE: KAYLA ROCHELLE JAMIESON

MEDICARE:   KAYLA ROCHELLE JAMIESON
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
1363LF0000XFamily Nurse Practitioner2010036614MO
2207Q00000XFamily Medicine Physician2020033734MO

General Provider Information

NPI Number : 1184211054
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA ROCHELLE JAMIESON
Provider Business Mailing Address
First Line : 1701 LACEY ST
Second Line :
City : CAPE GIRARDEAU
State : MO
Zip : 63701-5230
Country : US
Telephone Number : 573-334-4822
Fax Number :
Provider Business Practice Location Address
First Line : 1701 LACEY ST
Second Line :
City : CAPE GIRARDEAU
State : MO
Zip : 63701-5230
Country : US
Telephone Number : 573-334-4822
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2020
Last Update Date : 02/10/2026

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Directions to “ KAYLA ROCHELLE JAMIESON ” Practice Location

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