Individual
JAMIE LYNN MAINVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
428 S GILBERT RD STE 101, GILBERT, AZ 85296-2261
(480) 677-8282
(844) 470-2777
Mailing address
261 N ROOSEVELT AVE, CHANDLER, AZ 85226-2617
(480) 677-8282
(888) 316-1686
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
250087
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088939
—
AZ
Enumeration date
11/16/2020
Last updated
09/15/2025
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