Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 8239 | MN |
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | SP020343 | PA |
NPI | 1134686934 |
---|---|
Provider Name | Jayme Millie Mech |
First Address | Philadelphia, PA 19104 |
Second Address | Philadelphia, PA 19104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2019 |
Last Update Date | 11/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
104419519 | NNP-BC (01) | |
8239 | MN CNP LICENSE (01) | MN |