Provider Demographics
NPI:1760455018
Name:JAMISON, KAREN M (NP)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:JAMISON
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:5350 E HIGH ST STE 300
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85054-5561
Mailing Address - Country:US
Mailing Address - Phone:888-209-8874
Mailing Address - Fax:833-329-4738
Practice Address - Street 1:3100 N NAVAJO DR STE B3
Practice Address - Street 2:
Practice Address - City:PRESCOTT VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86314-8654
Practice Address - Country:US
Practice Address - Phone:888-209-8874
Practice Address - Fax:833-329-4738
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-08
Last Update Date:2025-11-03
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Provider Licenses
StateLicense IDTaxonomies
AZAP0232363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ623878Medicaid
AZ623878Medicaid