Individual
MRS. JESMINA FAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9250 N 3RD ST, PHOENIX, AZ 85020-2437
(602) 861-1168
Mailing address
9250 N 3RD ST STE 2000, PHOENIX, AZ 85020-2403
(623) 261-6577
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
F06220167
AZ
363L00000X
Nurse Practitioner
F06220167
AZ
363LA2100X
Acute Care Nurse Practitioner
Primary
F06220167
AZ
363LG0600X
Gerontology Nurse Practitioner
F06220167
AZ
363LP2300X
Primary Care Nurse Practitioner
F06220167
AZ
Other
Enumeration date
06/09/2022
Last updated
05/05/2023
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