Individual
DR. JERICA ELAINE MICLAT LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, MN, BSN, PMHNP
Contact information
Practice address
825 W OSBORN RD APT 4023, PHOENIX, AZ 85013-3674
(747) 999-7516
Mailing address
825 W OSBORN RD APT 4023, PHOENIX, AZ 85013-3674
(747) 999-7516
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
257756
AZ
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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