Individual
JACK LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1492 S MILL AVE STE 212, TEMPE, AZ 85281-5664
(480) 332-8446
Mailing address
3700 E GIDEON WAY, GILBERT, AZ 85296-2977
(480) 703-2530
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
269640
AZ
Other
Enumeration date
06/25/2026
Last updated
06/25/2026
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