Provider Demographics
NPI:1083078547
Name:STORMS, JAYME LYNN (NP)
Entity Type:Individual
Prefix:
First Name:JAYME
Middle Name:LYNN
Last Name:STORMS
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Gender:F
Credentials:NP
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Mailing Address - Street 1:516 WEST ATEN ROAD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:IMPERIAL
Mailing Address - State:CA
Mailing Address - Zip Code:92251-6805
Mailing Address - Country:US
Mailing Address - Phone:760-355-7730
Mailing Address - Fax:760-355-7731
Practice Address - Street 1:1503 NORTH IMPERIAL AVENUE
Practice Address - Street 2:SUITE 105-B
Practice Address - City:EL CENTRO
Practice Address - State:CA
Practice Address - Zip Code:92243
Practice Address - Country:US
Practice Address - Phone:760-337-4100
Practice Address - Fax:760-545-0255
Is Sole Proprietor?:No
Enumeration Date:2016-04-11
Last Update Date:2018-02-27
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Provider Licenses
StateLicense IDTaxonomies
CA95003801363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily