Provider Demographics
NPI:1225302771
Name:MCCREERY, JAMIE N (MS, CGC)
Entity Type:Individual
Prefix:MS
First Name:JAMIE
Middle Name:N
Last Name:MCCREERY
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3821 SPRING STREET
Mailing Address - Street 2:PRENATAL ASSESSMENT CENTER
Mailing Address - City:RACINE
Mailing Address - State:WI
Mailing Address - Zip Code:53405
Mailing Address - Country:US
Mailing Address - Phone:262-687-3356
Mailing Address - Fax:
Practice Address - Street 1:3821 SPRING STREET
Practice Address - Street 2:PRENATAL ASSESSMENT CENTER
Practice Address - City:RACINE
Practice Address - State:WI
Practice Address - Zip Code:53405
Practice Address - Country:US
Practice Address - Phone:262-687-3356
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-01
Last Update Date:2015-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS