Provider Demographics
NPI:1659496693
Name:WORKMAN, JAMIE O (PHD)
Entity Type:Individual
Prefix:MS
First Name:JAMIE
Middle Name:O
Last Name:WORKMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:18 W COLONY PL
Mailing Address - Street 2:SUITE 280
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-5582
Mailing Address - Country:US
Mailing Address - Phone:919-493-2674
Mailing Address - Fax:919-493-1923
Practice Address - Street 1:18 W COLONY PL
Practice Address - Street 2:SUITE 280
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-5582
Practice Address - Country:US
Practice Address - Phone:919-493-2674
Practice Address - Fax:919-493-1923
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3299103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6107484Medicaid