Provider Demographics
NPI:1376137315
Name:ALLARD, JAMIE MARIE (RN)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:MARIE
Last Name:ALLARD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2425 BLUERIDGE AVE APT 136
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-4558
Mailing Address - Country:US
Mailing Address - Phone:508-272-0449
Mailing Address - Fax:
Practice Address - Street 1:2425 BLUERIDGE AVE APT 136
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-4558
Practice Address - Country:US
Practice Address - Phone:508-272-0449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-20
Last Update Date:2021-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2337494163WM0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn