Provider Demographics
NPI:1235226002
Name:REMIEN, JAMI ALISON (CPNP)
Entity Type:Individual
Prefix:MS
First Name:JAMI
Middle Name:ALISON
Last Name:REMIEN
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1239 WILLIAM DR
Mailing Address - Street 2:
Mailing Address - City:LAKE ZURICH
Mailing Address - State:IL
Mailing Address - Zip Code:60047-2778
Mailing Address - Country:US
Mailing Address - Phone:847-682-9866
Mailing Address - Fax:847-540-9941
Practice Address - Street 1:1239 WILLIAM DR
Practice Address - Street 2:
Practice Address - City:LAKE ZURICH
Practice Address - State:IL
Practice Address - Zip Code:60047-2778
Practice Address - Country:US
Practice Address - Phone:847-682-9866
Practice Address - Fax:847-540-9941
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209004173363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILQ45514Medicare UPIN