MS. J'LAINE PROCTOR


Address: 1465 N 4th St, Suite #119, Laramie, WY 82072-2066
Phone: 3077210700

MS. J'LAINE PROCTOR (NPI# 1558373340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558373340
Entity Type Individual
Full Name MS. J'LAINE PROCTOR
Other Name LARA JALAINE LLOYD
Credential FNP-BC, PMHNP-BC
Practice Address 1465 N 4th St
Suite #119
Laramie
WY 82072-2066
Mailing Address 1465 N 4th St
Suite 119
Laramie
WY 82072-2066
Practice Telephone 3077210700
Practice Fax Number 3077211039
Mailing Telephone 3077210700
Mailing Fax Number 3077211039
Enumeration Date 2006-08-12
Last Update Date 2011-10-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
199070282 WY Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
19907.0282 WY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WY 120576500 05

Office Location

Street Address 1465 N 4TH ST
SUITE #119
City LARAMIE
State WY
Zip Code 82072-2066

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1437259017 Marilyn K. Yee Psychologist 1465 N 4th St, Suite 101, Laramie, WY 82072-2066 2006-09-24

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City LARAMIE
Zip Code 82072

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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