Provider Demographics
NPI:1598287245
Name:POWELL, JAMI DANIELLE (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:JAMI
Middle Name:DANIELLE
Last Name:POWELL
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Gender:F
Credentials:FNP-BC
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Mailing Address - Street 1:1100 REID PKWY
Mailing Address - Street 2:MEDICAL STAFF SVCS
Mailing Address - City:RICHMOND
Mailing Address - State:IN
Mailing Address - Zip Code:47374-1157
Mailing Address - Country:US
Mailing Address - Phone:765-935-1905
Mailing Address - Fax:765-935-1910
Practice Address - Street 1:1501 CHESTER BLVD
Practice Address - Street 2:REID URGENT CARE
Practice Address - City:RICHMOND
Practice Address - State:IN
Practice Address - Zip Code:47374-1914
Practice Address - Country:US
Practice Address - Phone:765-935-1905
Practice Address - Fax:765-935-1910
Is Sole Proprietor?:No
Enumeration Date:2017-07-14
Last Update Date:2022-07-01
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Provider Licenses
StateLicense IDTaxonomies
IN28173448A163W00000X
IN71007336A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse