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NPI Code Detail

MEDICARE: JAMI AUSTIN

MEDICARE: JAMI AUSTIN
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
1363LP2300XPrimary Care Nurse Practitioner11013062FL

General Provider Information

NPI Number : 1861066441
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMI AUSTIN
Provider Business Mailing Address
First Line : 9880 N PINK MOSS PT
Second Line :
City : CRYSTAL RIVER
State : FL
Zip : 34428-7441
Country : US
Telephone Number : 352-601-6609
Fax Number :
Provider Business Practice Location Address
First Line : 1250 N VANTAGE POINT DR
Second Line :
City : CRYSTAL RIVER
State : FL
Zip : 34429-5736
Country : US
Telephone Number : 352-795-0644
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2021
Last Update Date : 01/30/2023

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