Individual
MA JESSICA MELLIZA GONZAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1501 N CAMPBELL AVE, BOX 245057, TUCSON, AZ 85724-0001
(520) 626-2239
(520) 626-2480
Mailing address
1501 N CAMPBELL AVE, PO BOX 245057, TUCSON, AZ 85724-0001
(520) 626-2239
(520) 626-2480
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP5341
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP5341
STATE LICENSE
AZ
Enumeration date
03/03/2014
Last updated
02/06/2025
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