Provider Demographics
NPI:1831639855
Name:SAXENA, JAMIE REED (FNP-C)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:REED
Last Name:SAXENA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3375 SCOTT BLVD STE 336
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95054-3113
Mailing Address - Country:US
Mailing Address - Phone:408-266-3100
Mailing Address - Fax:
Practice Address - Street 1:3375 SCOTT BLVD STE 336
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95054-3113
Practice Address - Country:US
Practice Address - Phone:408-266-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-24
Last Update Date:2017-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95006220363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily