Jamie J Ott in Edwardsville - Nurse Practitioner

Jamie J Ott - NPI 1285673780

Jamie J Ott is a Nurse Practitioner in Edwardsville, Illinois. Jamie J Ott practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Jamie J Ott is 1285673780. The last update date is 2021-10-15.

Jamie J Ott's current location address is 2122 Troy Rd Ste 130, Edwardsville, Illinois. You can contact this provider via phone number 6188004500. The mailing address for Jamie J Ott is 2122 Troy Rd Ste 130, Edwardsville, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Jamie J Ott
Address 2122 Troy Rd Ste 130, Edwardsville, Illinois
Phone Number 6188004500
Fax Number
Sole Proprietor N
Credentials FNP-C

NPI Number Detail

NPI Number 1285673780
Provider Enumeration Date 2006-06-06
Last Updated Date 2021-10-15

Provider Mailing Address Detail

Address 2122 Troy Rd Ste 130
City Edwardsville
State Illinois (IL)
Post Code 620252540
Phone Number 6188004500
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 209003494
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6015346 IL BLUE CROSS BLUE SHIELD OF
500012843 RAILROAD MEDICARE

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FAQs about Jamie J Ott

What is the Jamie J Ott's unique identification number?

The Jamie J Ott has been assigned the NPI (National Provider Identifier) Number 1285673780 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Jamie J Ott's facilities are situated?

The facilities of Jamie J Ott are physically located at the following address: 2122 Troy Rd Ste 130, Edwardsville, IL, 620252540.

What is Jamie J Ott's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jamie J Ott's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.

On what date did the Jamie J Ott receive its 1285673780 assignment from the Centers for Medicare & Medicaid Services?

The Jamie J Ott was assigned its 1285673780 by the Centers for Medicare & Medicaid Services on 2006-06-06.

When was the information related to Jamie J Ott most recently updated or refreshed?

The details pertaining to the Jamie J Ott, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-10-15.

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