Provider Demographics
NPI:1992309462
Name:FINK, JAIME DYER (APRN)
Entity type:Individual
Prefix:
First Name:JAIME
Middle Name:DYER
Last Name:FINK
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:JAIME
Other - Middle Name:
Other - Last Name:COZIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:300 E MCBEE AVE FL 4
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-2842
Mailing Address - Country:US
Mailing Address - Phone:864-522-8603
Mailing Address - Fax:
Practice Address - Street 1:298 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:SC
Practice Address - Zip Code:29672-9443
Practice Address - Country:US
Practice Address - Phone:864-482-3230
Practice Address - Fax:864-482-3222
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-25
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC220720163W00000X
SC27260363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163W00000XNursing Service ProvidersRegistered Nurse