Organization
JANGAY PSYCHIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE H FATOMA PMHNP (OWNER)
(480) 217-8964
Entity
Organization
Contact information
Practice address
11770 W DAVIS LN, AVONDALE, AZ 85323-7695
(480) 217-8964
Mailing address
11770 W DAVIS LN, AVONDALE, AZ 85323-7695
(480) 217-8964
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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