Individual provider · Type 1 NPI

Jamie Booth, RN

School Registered Nurse · Grady, NM

NPI number 1912487703 Active

Practice location

100 Franklin St.
Grady, NM 88120

Mailing address

PO Box 71
Grady, NM 88120-0071

Specialties and licenses

TaxonomyCodeLicense
School Registered Nurse Primary 163WS0200XRN-79918 (NM)

School Registered Nurse: Definition to come...

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About NPI 1912487703

Jamie Booth, RN's National Provider Identifier is 1912487703, issued on Aug 21, 2018. The primary taxonomy on file is School Registered Nurse (163WS0200X), and the practice location is in Grady, NM. The record was last updated on Aug 21, 2018.