Individual
JASMA M DYDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC, CPN
Contact information
Practice address
1459 S HIGLEY RD STE 106, GILBERT, AZ 85296-5047
(480) 556-0446
Mailing address
1459 S HIGLEY RD STE 106, GILBERT, AZ 85296-5047
(480) 556-0446
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2016028863
MO
363LF0000X
Family Nurse Practitioner
Primary
242949
AZ
363LF0000X
Family Nurse Practitioner
77337
KS
Other
Enumeration date
08/05/2016
Last updated
06/24/2021
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