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Contact Information

DALLARIE JAMISON, CRNP
201 REGENCY CT
DOTHAN, AL36305-1179
 Phone: 334-673-8869
 Fax: 334-673-8851
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for DALLARIE JAMISON · (Female)

NPI Number 1083079453
Status Active
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 12/29/2015
Last updated 05/22/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 1-127798
  • AL License # CP.17240
  • FL License # 9475102
  • GA License # RN209490
  • AL Medicaid 010838800
  • AL Medicaid 188102
  • AL Medicaid 205760
  • AL Medicaid 229432
  • FL Medicaid 010838800
  • GA Medicaid 003194200C
  • GA Medicaid 407098142C
  • Other 1080690 BEACON
  • Other 13804050 CAQH
  • Other 0348462 CIGNA
  • Other 601701400 DOL
  • Other Q6YNL FLORIDA BLUE
  • Other 774089000 MAGELLAN
  • Other 19C1R NEW DIRECTIONS
  • Other 1013117167 NPI
  • Other 1083079453 NPI
  • Other 523314 VALUE OPTIONS
  • AL Other 51521565 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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