Provider Demographics
NPI:1710548391
Name:WEST, JAMIE CATHERINE (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:CATHERINE
Last Name:WEST
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 HIGHWAY 172
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:AR
Mailing Address - Zip Code:71655-9655
Mailing Address - Country:US
Mailing Address - Phone:870-500-2195
Mailing Address - Fax:
Practice Address - Street 1:777 JORDAN DR
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:AR
Practice Address - Zip Code:71655-5719
Practice Address - Country:US
Practice Address - Phone:870-460-9777
Practice Address - Fax:870-460-4790
Is Sole Proprietor?:No
Enumeration Date:2019-06-25
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR120542363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily