Individual
LEA S JERPSETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
1950 W 3RD ST, YUMA, AZ 85364-1812
(928) 276-4477
(928) 276-4481
Mailing address
3010 W 13TH PL, YUMA, AZ 85364-4271
(192) 830-4538
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
RN089048
AZ
363LF0000X
Family Nurse Practitioner
Primary
260049
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098404
—
AZ
01
—
Z261220
MEDICARE
AZ
Enumeration date
06/07/2021
Last updated
08/04/2022
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