Provider Demographics
NPI:1275812547
Name:CONLEY, JAMI MICHELE (RN WCC)
Entity Type:Individual
Prefix:MRS
First Name:JAMI
Middle Name:MICHELE
Last Name:CONLEY
Suffix:
Gender:F
Credentials:RN WCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:184 BROOK BEND LANE
Mailing Address - Street 2:
Mailing Address - City:PEEBLES
Mailing Address - State:OH
Mailing Address - Zip Code:45660
Mailing Address - Country:US
Mailing Address - Phone:937-205-4134
Mailing Address - Fax:
Practice Address - Street 1:184 BROOK BEND LANE
Practice Address - Street 2:
Practice Address - City:PEEBLES
Practice Address - State:OH
Practice Address - Zip Code:45660
Practice Address - Country:US
Practice Address - Phone:937-205-4134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-04
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH326259163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse