# PURA VIDA MIND AND BODY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pura Vida Mind & Body
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982534095
- **Authorized official:** JACQUELINE HOFFMAN PMHNP (CMO)
- **Authorized official phone:** (480) 478-2746

## Contact information

- **Practice address:** 4539 N 22ND ST STE R, PHOENIX, AZ 85016-4639
- **Practice address phone:** (480) 478-2746
- **Practice address fax:** (480) 323-2066
- **Mailing address:** 4539 N 22ND ST STE R, PHOENIX, AZ 85016-4639
- **Mailing address phone:** (480) 478-2746
- **Mailing address fax:** (480) 323-2066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/20/2026
- **Last updated:** 09/18/2026