Organization
MARY JACQUELINE FNP-C-PC
Active
Parent organization
-
Other names
Mary Jacqueline-FNP-C-PC, Mary Jacqueline FNP-C-PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
-
Authorized official
YVETTE PARADEZA (OFFICE MANAGER)
(928) 726-6772
Entity
Organization
Contact information
Practice address
2281 W 24TH ST STE 15, YUMA, AZ 85364-6197
(928) 726-6772
(928) 726-3012
Mailing address
2281 W 24TH ST STE 15, YUMA, AZ 85364-6197
(928) 726-6772
(928) 726-3012
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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