Individual
JEFFREY ELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4545 E CHANDLER BLVD STE 308, PHOENIX, AZ 85048-7646
(480) 956-5660
Mailing address
225 E PIERCE ST, TEMPE, AZ 85288-1038
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
244594
AZ
Other
Enumeration date
09/01/2023
Last updated
09/27/2024
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