Provider Demographics
NPI:1366793952
Name:JOSEY, JAMY (NP)
Entity type:Individual
Prefix:MS
First Name:JAMY
Middle Name:
Last Name:JOSEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 W VILLAGE BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-2211
Mailing Address - Country:US
Mailing Address - Phone:956-727-3547
Mailing Address - Fax:956-725-8737
Practice Address - Street 1:101 W VILLAGE BLVD STE B
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-2211
Practice Address - Country:US
Practice Address - Phone:956-727-3547
Practice Address - Fax:956-725-8737
Is Sole Proprietor?:No
Enumeration Date:2012-09-24
Last Update Date:2014-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX607620363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily