Individual
JESSICA L SEGURA GUERRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4110 N 108TH AVE STE 105, PHOENIX, AZ 85037-5772
(699) 962-3772
Mailing address
4110 N 108TH AVE STE 105, PHOENIX, AZ 85037-5772
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
219542
AZ
Other
Enumeration date
12/06/2018
Last updated
12/17/2018
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