Individual
JIN-A YI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP-BC
Contact information
Practice address
3131 E CLARENDON AVE STE 102, PHOENIX, AZ 85016-7069
(602) 253-9168
Mailing address
9623 W MONTE LINDO, PEORIA, AZ 85383-4340
(602) 334-0362
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
285242
AZ
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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