Provider Demographics
NPI:1336938216
Name:COVILL, JAMIE LYNNE
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:LYNNE
Last Name:COVILL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7199 N ELMS RD
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:MI
Mailing Address - Zip Code:48433-8802
Mailing Address - Country:US
Mailing Address - Phone:810-223-1185
Mailing Address - Fax:
Practice Address - Street 1:7199 N ELMS RD
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:MI
Practice Address - Zip Code:48433-8802
Practice Address - Country:US
Practice Address - Phone:810-223-1185
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula