Provider Demographics
NPI:1437971710
Name:JOHAR, JAMIE (CNM)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:JOHAR
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5606 WILLOW SPRINGS CT
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80528-6340
Mailing Address - Country:US
Mailing Address - Phone:970-631-9633
Mailing Address - Fax:
Practice Address - Street 1:5606 WILLOW SPRINGS CT
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80528-6340
Practice Address - Country:US
Practice Address - Phone:970-631-9633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-29
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife