Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 176B00000X | Midwife |
NPI | 1134700891 |
---|---|
Provider Name | Jayme Nichole Lyday |
First Address | Palmetto, FL 34221-1268 |
Second Address | Sarasota, FL 34239-3516 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2021 |
Last Update Date | 03/06/2021 |