Individual
JENNIFER DEGAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
4616 N 51ST AVE STE 108, PHOENIX, AZ 85031-1720
(602) 285-6800
Mailing address
3003 N CENTRAL AVE STE 400, PHOENIX, AZ 85012-2929
(602) 685-6000
(602) 302-7925
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
286819
AZ
Other
Enumeration date
01/31/2023
Last updated
02/08/2023
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