Individual
MS. JODI LYN LAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5700 W OLIVE AVE STE 102, GLENDALE, AZ 85302-3147
(623) 387-3705
(866) 941-5662
Mailing address
4494 W PEORIA AVE STE 115A, GLENDALE, AZ 85302-2020
(602) 509-9177
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
AP10016
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP10016
AZ
Other
Enumeration date
04/09/2017
Last updated
01/17/2020
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