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NPI Code Detail

MEDICARE: MRS. BRITTANY LANE JAMISON APRN, FNP-C

MEDICARE:  MRS. BRITTANY LANE JAMISON  APRN, FNP-C
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 PractitionerAPRN.CNP.023901OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1023901OTHEROHOHIO BOARD OF NURSING

General Provider Information

NPI Number : 1356819338
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BRITTANY LANE JAMISON APRN, FNP-C
Provider Business Mailing Address
First Line : 3170 KETTERING BLVD BUILDING B, 3RD FLOOR
Second Line :
City : MORAINE
State : OH
Zip : 45439-1924
Country : US
Telephone Number : 937-991-3186
Fax Number : 937-223-9811
Provider Business Practice Location Address
First Line : 101 E ALEX BELL RD STE 190
Second Line :
City : CENTERVILLE
State : OH
Zip : 45459-2752
Country : US
Telephone Number : 937-425-4030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2018
Last Update Date : 03/29/2022

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Directions to “ MRS. BRITTANY LANE JAMISON APRN, FNP-C” Practice Location

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