Provider Demographics
NPI:1750958674
Name:CONRATH, JAMIE KAY (DNP-PMHNP-BC)
Entity type:Individual
Prefix:MS
First Name:JAMIE
Middle Name:KAY
Last Name:CONRATH
Suffix:
Gender:F
Credentials:DNP-PMHNP-BC
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:KAY
Other - Last Name:PEARCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:201 N BROAD ST STE 200
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-3569
Mailing Address - Country:US
Mailing Address - Phone:507-225-1500
Mailing Address - Fax:507-225-1501
Practice Address - Street 1:201 N BROAD ST STE 200
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-3569
Practice Address - Country:US
Practice Address - Phone:507-225-1500
Practice Address - Fax:507-225-1501
Is Sole Proprietor?:No
Enumeration Date:2021-06-09
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR-189516-2163W00000X
MN8392363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse