Provider Demographics
NPI:1467749705
Name:JAMIESON, CHRISTIANE BELL (FNP)
Entity Type:Individual
Prefix:
First Name:CHRISTIANE
Middle Name:BELL
Last Name:JAMIESON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9219 GARLAND RD STE 2107
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75218-4639
Mailing Address - Country:US
Mailing Address - Phone:214-687-8684
Mailing Address - Fax:
Practice Address - Street 1:9219 GARLAND RD STE 2107
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75218-4639
Practice Address - Country:US
Practice Address - Phone:214-687-8684
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-07
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX651962363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX284353401Medicaid
TX284353401Medicaid