Individual
JESSICA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3303 E BASELINE RD STE 203, GILBERT, AZ 85234-2728
(480) 300-5388
(480) 535-5841
Mailing address
1252 S BRIDGER DR, CHANDLER, AZ 85286-1073
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
278654
AZ
Other
Enumeration date
08/29/2022
Last updated
01/24/2023
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