Organization
LEGACY PRIMARY HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMEELA AMEEN NP-C (MS./OWNER)
(520) 975-4883
Entity
Organization
Contact information
Practice address
7959 N THORNYDALE RD, #91933, TUCSON, AZ 85741-1443
(520) 975-4883
Mailing address
7959 N THORNYDALE RD, #91933, TUCSON, AZ 85741-1443
(520) 975-4883
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP4903
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
803226
—
AZ
Enumeration date
04/29/2016
Last updated
04/29/2016
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