JAMIE MICHELLE WHEELAHAN NP NPI 1417915513

NPI Information

NPI: 1417915513
Provider Name: JAMIE MICHELLE WHEELAHAN, NP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Address:
1200 B GALE WILSON BLVD
FAIRFIELD, CA
ZIP 94533
Phone: (707) 646-5300
Get Directions

Jamie Michelle Wheelahan, NP is an acute care nurse practitioner in Fairfield, CA. Jamie Michelle Wheelahan, NP NPI is 1417915513. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1200 B GALE WILSON BLVD
FAIRFIELD, CA
ZIP 94533-552
Phone: (707) 646-5300
Fax: (707) 646-5334

The enumeration date for this NPI number is 5/1/2006 and was last updated on 6/14/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	17220	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q22116	MEDICARE UPIN	NEBRASKA
2	277846	MEDICARE ID-TYPE UNSPECIFIED	NEBRASKA
3	17220	OTHER	CALIFORNIA	LICENSE
4	47078557542	MEDICAID	NEBRASKA
5	110636	OTHER	NEBRASKA	LICENSE
6	47037658373	MEDICAID	NEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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