Individual provider · Type 1 NPI
Jamie Wade, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Wilkes-Barre, PA
NPI number
1225730997
Active
Practice location
84 W South Street
Wilkes-Barre, PA 18701
Mailing address
4343 N 16th St
Phoenix, AZ 85016-5338
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 289350 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1225730997
Jamie Wade, PMHNP's National Provider Identifier is 1225730997, issued on Mar 20, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Wilkes-Barre, PA. The record was last updated on Mar 4, 2025.