Individual
JOLEEN MARIE EMAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
707 N ALVERNON WAY STE 205, TUCSON, AZ 85711-1847
(520) 694-8000
Mailing address
5805 N CAMPBELL AVE, TUCSON, AZ 85718-4236
(520) 248-0615
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN131378
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP3692
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
548172
—
AZ
01
—
Z174074
MEDICARE PTAN
—
Enumeration date
09/03/2010
Last updated
07/04/2019
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