Provider Demographics
NPI:1578700290
Name:MCNABB, JAMIE A (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:A
Last Name:MCNABB
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2588 ALASKA HWY
Mailing Address - Street 2:P.O. BOX 96
Mailing Address - City:DELTA JUNCTION
Mailing Address - State:AK
Mailing Address - Zip Code:99737
Mailing Address - Country:US
Mailing Address - Phone:907-895-5055
Mailing Address - Fax:
Practice Address - Street 1:2588 ALASKA HWY
Practice Address - Street 2:SUITE 1-A
Practice Address - City:DELTA JUNCTION
Practice Address - State:AK
Practice Address - Zip Code:99737
Practice Address - Country:US
Practice Address - Phone:907-895-5055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-16
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK486111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor