JAIME MENDOZA, PMHNP

Nurse Practitioner - Psychiatric/Mental Health

Active Individual
NPI: 1689915811

Practice Address

6805 STATE ROUTE 162 STE 201
Maryville, IL 62062

Phone: (618) 288-5019

Specialties

Specialty Code Primary License
Nurse Practitioner - Family 363LF0000X No 209010309 (IL)
Nurse Practitioner - Psychiatric/Mental Health 363LP0808X Yes 27700144 (IL)

Frequently Asked Questions

NPI 1689915811 is the National Provider Identifier for JAIME MENDOZA, PMHNP, a Nurse Practitioner - Psychiatric/Mental Health provider located in Maryville, IL. This NPI was enumerated on March 13, 2013.
JAIME MENDOZA, PMHNP practices at 6805 STATE ROUTE 162 STE 201, Maryville, IL 62062.

Quick Facts

NPI
1689915811
Type
Individual
Enumerated
Mar 13, 2013
Last Updated
Jan 21, 2026

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