Individual
DR. JESUS PRADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, PMHNP-BC
Contact information
Practice address
2120 W GUADALUPE RD STE 6, MESA, AZ 85202-7366
(602) 230-7373
(480) 629-8577
Mailing address
3101 N CENTRAL AVE STE 550, PHOENIX, AZ 85012-2635
(602) 230-7373
(602) 682-7455
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN210286
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP285410
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RNP285410
AZ
Other
Enumeration date
08/18/2020
Last updated
12/14/2025
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