Provider Demographics
NPI:1609927524
Name:DUVE, JAMIE LEAH (LPN)
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:LEAH
Last Name:DUVE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5325 CLASSIC LN LOT 4
Mailing Address - Street 2:
Mailing Address - City:PLATTEVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53818-8971
Mailing Address - Country:US
Mailing Address - Phone:608-348-7721
Mailing Address - Fax:608-348-7774
Practice Address - Street 1:5325 CLASSIC LN LOT 4
Practice Address - Street 2:
Practice Address - City:PLATTEVILLE
Practice Address - State:WI
Practice Address - Zip Code:53818-8971
Practice Address - Country:US
Practice Address - Phone:608-348-7721
Practice Address - Fax:608-348-7774
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse