Individual
MR. JAMES BENJAMIN HACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
4729 E CAMP LOWELL DR, TUCSON, AZ 85712
(520) 838-3540
(520) 325-3526
Mailing address
3709 N CAMPBELL AVE, STE 201, TUCSON, AZ 85719-1563
(520) 297-3907
(520) 989-3486
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704291763
MI
163WF0300X
Flight Registered Nurse
RN141174
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP8200
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP8200
ARIZONA STATE BOARD OF NURSING
AZ
01
—
RN141174
AZ LICENSE
AZ
Enumeration date
06/11/2015
Last updated
01/11/2022
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