Provider Demographics
NPI:1548357486
Name:STURGES, JAMI LYNN (MPH RD LD)
Entity type:Individual
Prefix:
First Name:JAMI
Middle Name:LYNN
Last Name:STURGES
Suffix:
Gender:F
Credentials:MPH RD LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1356
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83816-1356
Mailing Address - Country:US
Mailing Address - Phone:208-765-0955
Mailing Address - Fax:208-765-6972
Practice Address - Street 1:1115 IRONWOOD DRIVE
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814-4936
Practice Address - Country:US
Practice Address - Phone:208-765-0955
Practice Address - Fax:208-765-6972
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered