Provider Demographics
NPI:1134484751
Name:LAMERS, JAMIE LYNN (FNP-BC, RN)
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:LYNN
Last Name:LAMERS
Suffix:
Gender:F
Credentials:FNP-BC, RN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:72 SHELDON BLVD SW
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49503
Mailing Address - Country:US
Mailing Address - Phone:616-988-8774
Mailing Address - Fax:616-988-8775
Practice Address - Street 1:72 SHELDON BLVD SW
Practice Address - Street 2:
Practice Address - City:GR
Practice Address - State:MI
Practice Address - Zip Code:49503
Practice Address - Country:US
Practice Address - Phone:616-988-8774
Practice Address - Fax:616-988-8775
Is Sole Proprietor?:No
Enumeration Date:2012-07-10
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704248959363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily