Provider Demographics
NPI:1629532031
Name:MCNATT, JAMIE LAUREN
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:LAUREN
Last Name:MCNATT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 WINCHESTER CT
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-2232
Mailing Address - Country:US
Mailing Address - Phone:302-388-9653
Mailing Address - Fax:
Practice Address - Street 1:1275 CEDAR LANE RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-9636
Practice Address - Country:US
Practice Address - Phone:302-696-2000
Practice Address - Fax:302-696-2001
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-30
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0030067163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WS0200XNursing Service ProvidersRegistered NurseSchoolGroup - Single Specialty