Individual
JILL RICHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
3830 E VAN BUREN ST, PHOENIX, AZ 85008-6920
(602) 243-7277
Mailing address
3830 E VAN BUREN ST, PHOENIX, AZ 85008-6920
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN192494
AZ
363LP0200X
Pediatric Nurse Practitioner
Primary
273526
AZ
Other
Enumeration date
03/04/2020
Last updated
04/20/2022
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