| Jamison Family Medicine Pllc | |
|
9631 N Nevada St Suite 210 Spokane WA 99218-1133 | |
| (509) 319-2430 | |
| (877) 568-2402 |
| Full Name | Jamison Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 9631 N Nevada St, Spokane, Washington |
| Authorized Official Name and Position | Natalie Conrad (BUSINESS MANAGER) |
| Authorized Official Contact | 5093192430 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jamison Family Medicine Pllc 9631 N Nevada St Suite 210 Spokane WA 99218 Ph: (509) 319-2430 | Jamison Family Medicine Pllc 9631 N Nevada St Suite 210 Spokane WA 99218-1133 Ph: (509) 319-2430 |
| NPI Number | 1922479088 |
|---|---|
| Provider Enumeration Date | 10/15/2015 |
| Last Update Date | 03/22/2017 |
| Medicare PECOS PAC ID | 4486955606 |
|---|---|
| Medicare Enrollment ID | O20151214000289 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922479088 | NPI | - | NPPES |
| 2050216 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OP00001523 (Washington) | Primary |
| Provider Name | Jeffrey R Jamison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811068836 PECOS PAC ID: 5294726931 Enrollment ID: I20040521001098 |
| Provider Name | Selina M Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215358841 PECOS PAC ID: 7416187588 Enrollment ID: I20140311002001 |
| Provider Name | Jolene Sue Phelps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972176410 PECOS PAC ID: 3678977618 Enrollment ID: I20210812001660 |
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