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NPI Code Detail

MEDICARE: MRS. JAIME LYNN SATHER PMHNP-BC

MEDICARE: MRS. JAIME LYNN SATHER PMHNP-BC
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
1163WP0808XPsychiatric/Mental Health Registered Nurse1566187MN
2363LP0808XPsychiatric/Mental Health Nurse Practitioner4450MN
3363LP0808XPsychiatric/Mental Health Nurse Practitioner11006978FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1OS861ZOTHERFLMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538477369
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JAIME LYNN SATHER PMHNP-BC
Provider Business Mailing Address
First Line : 1888 SECLUSION DR
Second Line :
City : PORT ORANGE
State : FL
Zip : 32128-6974
Country : US
Telephone Number : 479-320-7707
Fax Number :
Provider Business Practice Location Address
First Line : 66 E MAIN ST # 303
Second Line :
City : WESTMINSTER
State : MD
Zip : 21157-5008
Country : US
Telephone Number : 888-815-3583
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2010
Last Update Date : 04/19/2025

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