Individual
JARED HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
1003 WILLOW CREEK RD, PRESCOTT, AZ 86301-1641
(928) 771-5470
(928) 771-5471
Mailing address
PO BOX 11720, PRESCOTT, AZ 86304-1720
(928) 771-5470
(928) 771-5471
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP7354
AZ
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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