MEDICARE: MRS. JAMIE LYNN MASON APRN, CNM

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	176B00000X	Midwife	CNM07828	OH
2	367A00000X	Advanced Practice Midwife	APRN.CNM.0019555	OH

General Provider Information

NPI Number	:	1336923887
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JAMIE LYNN MASON APRN, CNM

Provider Business Mailing Address
First Line	:	375 DIXMYTH AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45220-2475
Country	:	US
Telephone Number	:	513-862-2563
Fax Number	:	513-862-5017

Provider Business Practice Location Address
First Line	:	375 DIXMYTH AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45220-2475
Country	:	US
Telephone Number	:	513-862-2563
Fax Number	:	513-862-5017

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

Provider Enumeration Date	:	08/23/2023
Last Update Date	:	01/23/2026

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