Jamie Star Waller

Case Manager/Care Coordinator · Fairfield, CA

Individual Active NPI

NPI number 1568656767

Practice location

2101 Courage Dr
Fairfield, CA 94533-6717
Phone
(707) 784-2180

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NPI record

NPI
1568656767
Entity type
Individual (Type 1)
Enumeration date
August 30, 2007
Last updated
September 18, 2014
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —

Mailing address

2101 Courage Dr
Ms 10-300
Fairfield, CA 94533-6717

About Jamie Waller

Jamie Star Waller is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 2101 Courage Dr, Fairfield, CA 94533-6717. The NPI number 1568656767 was assigned on August 30, 2007 and the record was last updated on September 18, 2014.

Frequently asked questions

What is the NPI number of Jamie Star Waller?

The NPI number is 1568656767.

What is the phone number of Jamie Waller?

The phone number listed for the practice location is (707) 784-2180.

Where is Jamie Waller located?

2101 Courage Dr, Fairfield, CA 94533-6717.

What is the taxonomy code for Jamie Waller?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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