Provider Demographics
NPI:1336027135
Name:DEXTER, JAMIE MAE (APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:MAE
Last Name:DEXTER
Suffix:
Gender:F
Credentials:APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2120 W 48TH ST
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66205-1905
Mailing Address - Country:US
Mailing Address - Phone:913-217-0203
Mailing Address - Fax:
Practice Address - Street 1:2120 W 48TH ST
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:KS
Practice Address - Zip Code:66205-1905
Practice Address - Country:US
Practice Address - Phone:913-217-0203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-21
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS5384778021363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health