Provider Demographics
NPI:1104196112
Name:NHO, JAMIE M (MSN, NP-C)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:M
Last Name:NHO
Suffix:
Gender:F
Credentials:MSN, NP-C
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:M
Other - Last Name:LOW
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSN, NP-C
Mailing Address - Street 1:118 TRELLIS BAY
Mailing Address - Street 2:
Mailing Address - City:HERCULES
Mailing Address - State:CA
Mailing Address - Zip Code:94547
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1010 JOAQUIN RD
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94043
Practice Address - Country:US
Practice Address - Phone:510-402-8829
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-06
Last Update Date:2014-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21539363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily