Provider Demographics
NPI:1932763851
Name:CASH, JAIME LYNN (APRN)
Entity type:Individual
Prefix:
First Name:JAIME
Middle Name:LYNN
Last Name:CASH
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:205 N WILLIAMSBURG DR STE AANDB
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:61704-7706
Mailing Address - Country:US
Mailing Address - Phone:309-222-8315
Mailing Address - Fax:309-777-6077
Practice Address - Street 1:205 N WILLIAMSBURG DR STE AANDB
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IL
Practice Address - Zip Code:61704-7706
Practice Address - Country:US
Practice Address - Phone:309-222-8315
Practice Address - Fax:309-777-6077
Is Sole Proprietor?:No
Enumeration Date:2019-04-25
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60132575163WP0808X
IL209023193363LP0808X
IL277.003318363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health