Provider Demographics
NPI:1992792451
Name:JAMESON, GAYLE STIRLING (CRNP)
Entity type:Individual
Prefix:MS
First Name:GAYLE
Middle Name:STIRLING
Last Name:JAMESON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10460 N 92ND ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4549
Mailing Address - Country:US
Mailing Address - Phone:480-323-1353
Mailing Address - Fax:480-323-1359
Practice Address - Street 1:10460 N 92ND ST
Practice Address - Street 2:SUITE 200
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4549
Practice Address - Country:US
Practice Address - Phone:480-323-1353
Practice Address - Fax:480-323-1359
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAUP004299M363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAUP0004299MOtherCRNP - ADULT ACUTE CARE
PARN226559LOtherREGISTERED NURSE