Jamie Lee Price

Individual provider Active NPI Licensed Practical Nurse · Bainbridge, NY

NPI 1699197293 · NPPES record last updated Jan 16, 2014

Key facts

NPI
1699197293
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
287398 (NY)
Practice address
243 Corbin Rd
Bainbridge, NY 13733-3259
Phone
(607) 621-2053
Fax
(607) 320-4073
NPI assigned
Jan 16, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
287398NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 287398 NY Yes

Addresses

Primary practice location

243 Corbin Rd
Bainbridge, NY 13733-3259

Mailing address

243 Corbin Rd
Bainbridge, NY 13733-3259
Phone (607) 621-2053

Other names

  • Jamie Lee Lathan Former name

Other providers in Bainbridge, NY

All providers in Bainbridge, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.