Individual
MRS. JAMI AMANDA VAN BROCKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
4585 E SPEEDWAY BLVD BLDG B, TUCSON, AZ 85712-5309
(203) 274-5055
(520) 202-1733
Mailing address
4585 E SPEEDWAY BLVD BLDG 2, TUCSON, AZ 85712-5309
(520) 327-4505
(520) 202-1733
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
295409
AZ
Other
Enumeration date
01/10/2023
Last updated
12/06/2024
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