Individual
JAMIE LYNN GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
312 N ALMA SCHOOL RD, CHANDLER, AZ 85224-4354
(602) 762-8142
Mailing address
312 N ALMA SCHOOL RD, CHANDLER, AZ 85224-4354
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
268837
AZ
Other
Enumeration date
01/18/2022
Last updated
01/18/2022
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