Provider Demographics
NPI:1063087534
Name:STARKEY, JAMIE LYNN (FNP)
Entity type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:LYNN
Last Name:STARKEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
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Mailing Address - Street 1:5743 WILKIE DR STE 6
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46804-8905
Mailing Address - Country:US
Mailing Address - Phone:260-432-7018
Mailing Address - Fax:
Practice Address - Street 1:1310 E 7TH ST STE J
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:IN
Practice Address - Zip Code:46706-2518
Practice Address - Country:US
Practice Address - Phone:260-925-0305
Practice Address - Fax:260-925-6041
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-26
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN71010995A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN71010995AOtherBOARD OF NURSING