Organization
J.R. GRIFFIN CRNFA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY R GRIFFIN NP (OWNER/ PRESIDENT)
(480) 720-6347
Entity
Organization
Contact information
Practice address
11811 N TATUM BLVD STE P199, PHOENIX, AZ 85028-1698
(480) 720-6347
Mailing address
6501 E GREENWAY PKWY # 103-151, SCOTTSDALE, AZ 85254-2025
(480) 720-6347
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP7367
AZ
Other
Enumeration date
10/31/2014
Last updated
09/08/2019
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