Individual
JESSICA PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
506 E WESTERN AVE STE 104, AVONDALE, AZ 85323-2422
(602) 230-7373
(602) 230-3086
Mailing address
3101 N CENTRAL AVE STE 550, PHOENIX, AZ 85012-2635
(602) 230-7373
(602) 682-7455
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
324734
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/16/2024
Last updated
03/18/2026
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