Individual
MRS. JEANMARIE EVANGELINE MEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
1845 CAMPBELL AVE, PRESCOTT, AZ 86301-1211
(928) 717-3276
(928) 717-3275
Mailing address
300 E GURLEY ST, PRESCOTT, AZ 86301-3823
(928) 445-5400
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
RN052064
AZ
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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