Doctor Name: | MRS. JAMIE OAKLEY |
NPI Number: | 1003165820 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | PA00706 |
Business Practice Address: | 350 Kingstown Rd Suite 105 Narragansett, RI - 028823244 |
Business Phone Number: | 4012844555 |
Business Fax Number: | |
Mailing Address: | 15 Highland Ave, NARRAGANSETT |
State: | RI |
Postal Code: | 028823203 |
Phone Number: | 5087257444 |
Fax Number: | |
NPI Enumeration Date: | 09/07/2012 |
NPI Last Update Date: | 09/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA00706 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |