Provider Demographics
NPI:1740858778
Name:LECOMTE, JAIME (APN, FNP-BC, PMHNP-C)
Entity type:Individual
Prefix:
First Name:JAIME
Middle Name:
Last Name:LECOMTE
Suffix:
Gender:F
Credentials:APN, FNP-BC, PMHNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3095 WILSON CT
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-4945
Mailing Address - Country:US
Mailing Address - Phone:303-803-4226
Mailing Address - Fax:
Practice Address - Street 1:845 W CAMPBELL AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013-2612
Practice Address - Country:US
Practice Address - Phone:602-834-6588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-16
Last Update Date:2025-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0996586363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily