Provider Demographics
NPI:1427297266
Name:MCGUIRE, JAIMEE ALLISEN (DNP, RN, NP-C)
Entity type:Individual
Prefix:DR
First Name:JAIMEE
Middle Name:ALLISEN
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:DNP, RN, NP-C
Other - Prefix:
Other - First Name:JAIMEE
Other - Middle Name:ALLISEN
Other - Last Name:GIVENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 290
Mailing Address - Street 2:210 1ST STREET
Mailing Address - City:WANBLEE
Mailing Address - State:SD
Mailing Address - Zip Code:57577
Mailing Address - Country:US
Mailing Address - Phone:605-462-6155
Mailing Address - Fax:
Practice Address - Street 1:210 1ST STREET
Practice Address - Street 2:
Practice Address - City:WANBLEE
Practice Address - State:SD
Practice Address - Zip Code:57577
Practice Address - Country:US
Practice Address - Phone:605-462-6155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-18
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2006002520363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily