Provider Demographics
NPI:1053668475
Name:HOOLEY, JAIME M (PA)
Entity Type:Individual
Prefix:
First Name:JAIME
Middle Name:M
Last Name:HOOLEY
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:405 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MARSHALLTOWN
Mailing Address - State:IA
Mailing Address - Zip Code:50158-1928
Mailing Address - Country:US
Mailing Address - Phone:641-753-2752
Mailing Address - Fax:641-753-6450
Practice Address - Street 1:405 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MARSHALLTOWN
Practice Address - State:IA
Practice Address - Zip Code:50158-1928
Practice Address - Country:US
Practice Address - Phone:641-753-2752
Practice Address - Fax:641-753-6450
Is Sole Proprietor?:No
Enumeration Date:2012-08-06
Last Update Date:2012-08-06
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical