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NPI Code Detail

MEDICARE: JAYMI RENEE BUTLER APRN

MEDICARE: JAYMI RENEE BUTLER APRN
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN.CNP.0034533OH

General Provider Information

NPI Number : 1962184697
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAYMI RENEE BUTLER APRN
Provider Business Mailing Address
First Line : 4580 STEPHENS CIR NW STE 202
Second Line :
City : CANTON
State : OH
Zip : 44718-3645
Country : US
Telephone Number : 330-754-4431
Fax Number : 330-244-8839
Provider Business Practice Location Address
First Line : 4580 STEPHENS CIR NW STE 202
Second Line :
City : CANTON
State : OH
Zip : 44718-3645
Country : US
Telephone Number : 330-754-4431
Fax Number : 330-244-8839
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2023
Last Update Date : 03/28/2026

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Directions to “ JAYMI RENEE BUTLER APRN” Practice Location

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