Individual provider · NPI-1
Jamie Mae Backer
Community Health Worker · Delta, UT
NPI number1417657545
StatusActive
Last updated in NPPESMay 14, 2026
Details
- NPI
- 1417657545
- Entity type
- Individual (NPI-1)
- Name
- Jamie Mae Backer
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 7, 2023
- Certification date
- May 14, 2026
- Last updated
- May 14, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
| 226000000X | Recreational Therapist Assistant | – | – |
Other names
- Jamie Mae Walgren (Former Name)
Practice location
51 N Center StDelta, UT 84624-8430
Phone 435-864-3073
Mailing address
152 N 400 WEphraim, UT 84627-5549
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