Individual
BRENDA ELIZABETH JAIME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9675 W CAMELBACK RD, PHOENIX, AZ 85037-3667
(602) 815-0100
Mailing address
10985 W TAYLOR ST, AVONDALE, AZ 85323-6709
(602) 815-0010
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
304832
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/12/2024
Last updated
03/08/2024
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