Provider Demographics
NPI:1316686124
Name:DAY, JAMIE LYNN (FNP)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:LYNN
Last Name:DAY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:228 CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:PITTS
Mailing Address - State:GA
Mailing Address - Zip Code:31072-5408
Mailing Address - Country:US
Mailing Address - Phone:229-322-6549
Mailing Address - Fax:
Practice Address - Street 1:417 BROAD ST S
Practice Address - Street 2:
Practice Address - City:ABBEVILLE
Practice Address - State:GA
Practice Address - Zip Code:31001-4305
Practice Address - Country:US
Practice Address - Phone:229-467-3209
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-31
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0001363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
GARN201403OtherSTATE LICENSE
GA2022012683OtherANCC 2022012683