Provider Demographics
NPI:1679062855
Name:MCCARTNEY HERBERT, JAMIE K (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:K
Last Name:MCCARTNEY HERBERT
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 E FONTANERO ST STE 301
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-7526
Mailing Address - Country:US
Mailing Address - Phone:719-644-6463
Mailing Address - Fax:844-579-0123
Practice Address - Street 1:320 E FONTANERO ST STE 301
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-7526
Practice Address - Country:US
Practice Address - Phone:719-644-6463
Practice Address - Fax:844-579-0123
Is Sole Proprietor?:No
Enumeration Date:2018-05-03
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.1635805163W00000X
COAPN.0997328-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse