Individual
JEAN N OGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1050 W MAIN ST, MESA, AZ 85201-7187
(480) 803-5161
Mailing address
1050 W MAIN ST, MESA, AZ 85201-7187
(480) 803-5161
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
221041
AZ
Other
Enumeration date
09/22/2021
Last updated
05/08/2023
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