Individual
RAELYN JAMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 N 3RD STREET, HEALTH NORTH BUILDING, 3RD FLOOR, PHOENIX, AZ 85004
(602) 496-0907
Mailing address
550 N 3RD ST, PHOENIX, AZ 85004-2154
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
233166
AZ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/17/2024
Last updated
01/20/2026
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