Alexander Blake Jamieson | Tyler, TX • PECOS Search

Alexander Blake Jamieson

Licensed Vocational Nurse

Nursing Service Providers

1000 S Beckham Ave, Tyler, TX 75701-1908

PECOS Enrollment

Based on the most recent information from CMS, provider Alexander Blake Jamieson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1407572068
Provider Type
Individual
Full Name
Jamieson, Alexander Blake
Credential
LVN

Gender
Male
Sole Proprietor
No
Enumeration Date
10/17/2022
Last Updated
10/17/2022

Contact Information

Practice Location

1000 S Beckham Ave, Tyler, TX 75701-1908

Unlisted Fax

Mailing Location

1000 S Beckham Ave, Tyler, TX 75701-1908

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 164X00000X Primary	Description Licensed Vocational Nurse Nursing Service Providers	License 1094952 Texas