MEDICARE: MRS. JAMI D ENGLAND ARNP

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	363LF0000X	Family Nurse Practitioner	3613P	KY
2	363LP2300X	Primary Care Nurse Practitioner	16205	TN

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	:	1861488504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JAMI D ENGLAND ARNP

Provider Business Mailing Address
First Line	:	1610 TAZEWELL RD
Second Line	:	SUITE 201
City	:	TAZEWELL
State	:	TN
Zip	:	37879-3600
Country	:	US
Telephone Number	:	423-626-8393
Fax Number	:	423-626-1767

Provider Business Practice Location Address
First Line	:	1610 TAZEWELL RD
Second Line	:	SUITE 201
City	:	TAZEWELL
State	:	TN
Zip	:	37879-3600
Country	:	US
Telephone Number	:	423-626-8393
Fax Number	:	423-626-1767

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

Provider Enumeration Date	:	09/27/2005
Last Update Date	:	03/28/2012

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