Provider Demographics
NPI:1851778781
Name:MAGANA, JAMIE MARIE (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:MARIE
Last Name:MAGANA
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:MS
Other - First Name:JAMIE
Other - Middle Name:MARIE
Other - Last Name:WATSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16181 150TH ST
Mailing Address - Street 2:
Mailing Address - City:BONNER SPRINGS
Mailing Address - State:KS
Mailing Address - Zip Code:66012-7215
Mailing Address - Country:US
Mailing Address - Phone:620-704-2215
Mailing Address - Fax:
Practice Address - Street 1:16181 150TH ST
Practice Address - Street 2:
Practice Address - City:BONNER SPRINGS
Practice Address - State:KS
Practice Address - Zip Code:66012-7215
Practice Address - Country:US
Practice Address - Phone:620-704-2215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-29
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-76518-081363LF0000X
KS13-108884-081163W00000X, 163WS0200X
MO2010040445163W00000X, 163WS0200X
FLRN9423877163WS0200X
MN232024-1163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No163WS0200XNursing Service ProvidersRegistered NurseSchool