Provider Demographics
NPI:1861488504
Name:ENGLAND, JAMI D (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:JAMI
Middle Name:D
Last Name:ENGLAND
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MS
Other - First Name:JAMI
Other - Middle Name:D
Other - Last Name:CARNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:1610 TAZEWELL RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:TAZEWELL
Mailing Address - State:TN
Mailing Address - Zip Code:37879-3600
Mailing Address - Country:US
Mailing Address - Phone:423-626-8393
Mailing Address - Fax:423-626-1767
Practice Address - Street 1:1610 TAZEWELL RD
Practice Address - Street 2:SUITE 201
Practice Address - City:TAZEWELL
Practice Address - State:TN
Practice Address - Zip Code:37879-3600
Practice Address - Country:US
Practice Address - Phone:423-626-8393
Practice Address - Fax:423-626-1767
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3613P363LF0000X
TN16205363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY78006624Medicaid
KY78006624Medicaid
P40358Medicare UPIN
TN10350I4506Medicare PIN