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JAMEY L BURRIS-FISH FNP

Nursing Service Providers Registered Nurse Psychiatric/Mental Health

Provider NPI: 1861488868

Provider Information:
 JAMEY L BURRIS-FISH FNP
Gender: F
Not Sole Proprietor

Practice Location:
1010 SW COAST HWY STE 203  NEWPORT, OR 97365-5215 US
Tel: 541-265-4947  Fax: 541-574-7670

Business Mailing Address:
36 SW NYE ST  NEWPORT, OR 97365-3821 US
Tel: 541-265-4947  Fax: 541-265-4194

NPI Information:
NPI: 1861488868
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N163WP0808XNursing Service Providers
Registered Nurse
Psychiatric/Mental Health
WARN00159464
N363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
OR200750042NP
N363LP0808XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
WAAP30007010
N363LP0808XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
OR200750042NP
Y363LP2300XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
OR200750042NP

Other Provider Identifiers:

IssuerNumberStateType
9645276WA05
CRIME VICTIMS8906041WA01



American Medical Association 2012 taxonomy code information

Code: 363LP2300X

Type:

Classification:



Definition:



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