Provider Demographics
NPI:1578673158
Name:MCNITT, JAIME (PA-C)
Entity Type:Individual
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First Name:JAIME
Middle Name:
Last Name:MCNITT
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:7054 TIMBERCREST WAY
Mailing Address - Street 2:
Mailing Address - City:CASTLE PINES
Mailing Address - State:CO
Mailing Address - Zip Code:80108-8266
Mailing Address - Country:US
Mailing Address - Phone:404-218-0812
Mailing Address - Fax:303-590-3212
Practice Address - Street 1:7298 LAGAE RD STE C
Practice Address - Street 2:
Practice Address - City:CASTLE PINES
Practice Address - State:CO
Practice Address - Zip Code:80108-9494
Practice Address - Country:US
Practice Address - Phone:720-815-5424
Practice Address - Fax:303-590-3212
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2024-02-02
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Provider Licenses
StateLicense IDTaxonomies
CO3216363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA091576705AMedicaid
GA091576705AMedicaid
GA97WCHMDMedicare PIN