Organization
HAPPY JACK HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LETTIE RYAN FNP-C (OWNER)
(623) 670-3844
Entity
Organization
Contact information
Practice address
5151 ENCHANTED LN, HAPPY JACK, AZ 86024-8665
(928) 951-5500
Mailing address
5151 ENCHANTED LN, HAPPY JACK, AZ 86024-8665
(928) 951-5500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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