Provider Demographics
NPI:1982428850
Name:PAIGEMARIE NP STAFFING LLC
Entity type:Organization
Organization Name:PAIGEMARIE NP STAFFING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER-NP
Authorized Official - Prefix:
Authorized Official - First Name:PAIGE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:JAMISON
Authorized Official - Suffix:
Authorized Official - Credentials:NP-C
Authorized Official - Phone:517-462-6267
Mailing Address - Street 1:680 QUIMBY RD
Mailing Address - Street 2:
Mailing Address - City:COLDWATER
Mailing Address - State:MI
Mailing Address - Zip Code:49036-9573
Mailing Address - Country:US
Mailing Address - Phone:260-316-0652
Mailing Address - Fax:517-781-7169
Practice Address - Street 1:892 E CHICAGO ST STE B
Practice Address - Street 2:
Practice Address - City:COLDWATER
Practice Address - State:MI
Practice Address - Zip Code:49036-2063
Practice Address - Country:US
Practice Address - Phone:517-462-6267
Practice Address - Fax:517-781-7169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-08
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1265964258OtherPROVIDER
MI4704266663OtherNP LICENSE