Provider Demographics
NPI:1821322819
Name:LEE, JAMIE (CNS)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:LEE
Other - Last Name:FOLTAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNS
Mailing Address - Street 1:224 W EXCHANGE ST STE 225
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44302-1726
Mailing Address - Country:US
Mailing Address - Phone:330-344-7400
Mailing Address - Fax:330-344-1205
Practice Address - Street 1:224 W EXCHANGE ST STE 225
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44302-1726
Practice Address - Country:US
Practice Address - Phone:330-344-7400
Practice Address - Fax:330-344-1205
Is Sole Proprietor?:No
Enumeration Date:2009-09-24
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 155004364SA2200X
OHAPRN.CNS.01965364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3140756Medicaid
OH3140756Medicaid
OH3140756Medicaid