Provider Demographics
NPI:1154081537
Name:TROYER, JAIMEE (MSN, APRN, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:JAIMEE
Middle Name:
Last Name:TROYER
Suffix:
Gender:F
Credentials:MSN, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 340
Mailing Address - Street 2:
Mailing Address - City:PALMER LAKE
Mailing Address - State:CO
Mailing Address - Zip Code:80133-0340
Mailing Address - Country:US
Mailing Address - Phone:719-201-0951
Mailing Address - Fax:
Practice Address - Street 1:430 BEACON LITE RD UNIT 140
Practice Address - Street 2:
Practice Address - City:MONUMENT
Practice Address - State:CO
Practice Address - Zip Code:80132-9146
Practice Address - Country:US
Practice Address - Phone:719-201-0951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-27
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.1625917163W00000X
COAPN.0997847-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse