Provider Demographics
NPI:1962844902
Name:SNYDER, JAIME ALLISON (APRN)
Entity Type:Individual
Prefix:
First Name:JAIME
Middle Name:ALLISON
Last Name:SNYDER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5471 SCIOTO DARBY RD
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-1310
Mailing Address - Country:US
Mailing Address - Phone:614-660-5660
Mailing Address - Fax:
Practice Address - Street 1:210 W CONTINENTAL RD STE 244A
Practice Address - Street 2:
Practice Address - City:GREEN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85622-3596
Practice Address - Country:US
Practice Address - Phone:520-333-4949
Practice Address - Fax:520-526-9962
Is Sole Proprietor?:No
Enumeration Date:2013-07-18
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.380677363LF0000X
AZ238901363LP0808X
OHAPRN.CNP.15210363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0152324Medicaid