Provider Demographics
NPI:1992770804
Name:JAMESON, NANCY ANNE (MD)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:ANNE
Last Name:JAMESON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:800 TRANCAS ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-3044
Mailing Address - Country:US
Mailing Address - Phone:707-255-6212
Mailing Address - Fax:707-255-6290
Practice Address - Street 1:800 TRANCAS ST
Practice Address - Street 2:SUITE A
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-3044
Practice Address - Country:US
Practice Address - Phone:707-255-6212
Practice Address - Fax:707-255-6290
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG63552207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE84241Medicare UPIN