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Individual

JAMIE PEMBERTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
14441 W MCDOWELL RD STE B102, GOODYEAR, AZ 85395-2519
(480) 516-8037
Mailing address
500 N ESTRELLA PKWY # B2-204, GOODYEAR, AZ 85338-4135

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
268115
AZ

Other

Enumeration date
10/25/2021
Last updated
12/21/2021
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