IndividualActive
J'Laine Proctor, FNP-BC, PMHNP-BC
NPI 1558373340 · Psychiatric/Mental Health Nurse Practitioner · Laramie, WY
Provider details
- NPI number
- 1558373340
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-BC, PMHNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 199070282 (WY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1465 N 4th St
Suite #119
Laramie, WY 82072-2066
Phone: (307) 721-0700
Fax: (307) 721-1039
Approximate (ZIP-level) locationGet directions
Mailing address
1465 N 4th St
Laramie, WY 82072-2066
Registry dates
- Enumerated
- 2006-08-12
- Last updated
- 2011-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.