Provider Demographics
NPI:1992084222
Name:CHAPMAN, JAMIE MARIE (FNP-C)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:MARIE
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3308 WADSWORTH LN
Mailing Address - Street 2:
Mailing Address - City:PORTAGE
Mailing Address - State:MI
Mailing Address - Zip Code:49024-7400
Mailing Address - Country:US
Mailing Address - Phone:269-625-1899
Mailing Address - Fax:
Practice Address - Street 1:3408 MILLER RD STE 369
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49001-4111
Practice Address - Country:US
Practice Address - Phone:866-319-3595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-04
Last Update Date:2018-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704246600163W00000X, 363LF0000X
IN28177932A163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse