Individual
JAMIE SUN CHERUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7219 N LITCHFIELD RD, LUKE AFB, AZ 85309-1529
(623) 856-9089
Mailing address
7219 N LITCHFIELD RD, LUKE AFB, AZ 85309-1529
(623) 856-9089
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0609061
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F0609061
CERTIFICATION
TX
Enumeration date
08/03/2009
Last updated
09/01/2009
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