Provider Demographics
NPI:1457237836
Name:ADAIR, JAMIE RAY (RN)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:RAY
Last Name:ADAIR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6120 PASEO DEL NORTE STE L2
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92011-1149
Mailing Address - Country:US
Mailing Address - Phone:858-280-9723
Mailing Address - Fax:
Practice Address - Street 1:6120 PASEO DEL NORTE STE L2
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92011-1149
Practice Address - Country:US
Practice Address - Phone:858-280-9723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95149685163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse