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1265827562

NPI Code Detail

MEDICARE: JENNIFER MARIE JAMISON MD

MEDICARE: JENNIFER MARIE JAMISON MD

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
1	208M00000X	Hospitalist Physician	66980	WI
2	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	66980	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265827562
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER MARIE JAMISON MD

Provider Business Mailing Address
First Line	:	PO BOX 735044
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60673-5044
Country	:	US
Telephone Number	:	800-326-2250
Fax Number	:

Provider Business Practice Location Address
First Line	:	1155 N HONEY CREEK PKWY
Second Line	:
City	:	WAUWATOSA
State	:	WI
Zip	:	53213-3189
Country	:	US
Telephone Number	:	414-615-5900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2015
Last Update Date	:	06/17/2024

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Directions to “ JENNIFER MARIE JAMISON MD” Practice Location

Language	Start Address	Practice Location

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