Provider Demographics
NPI:1851150494
Name:CRUM, JAMIE KAY WERNER (MSN, RN, CDCES)
Entity Type:Individual
Prefix:MS
First Name:JAMIE
Middle Name:KAY WERNER
Last Name:CRUM
Suffix:
Gender:F
Credentials:MSN, RN, CDCES
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:300 SIOUX VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:CHEROKEE
Mailing Address - State:IA
Mailing Address - Zip Code:51012-1205
Mailing Address - Country:US
Mailing Address - Phone:712-225-3368
Mailing Address - Fax:712-225-6866
Practice Address - Street 1:300 SIOUX VALLEY DR
Practice Address - Street 2:
Practice Address - City:CHEROKEE
Practice Address - State:IA
Practice Address - Zip Code:51012-1205
Practice Address - Country:US
Practice Address - Phone:712-225-3368
Practice Address - Fax:712-225-6866
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA122779163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator