Organization
JANE NA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE NA PMHNP (OWNER)
(602) 500-1264
Entity
Organization
Contact information
Practice address
600 W GROVE PKWY APT 1083, TEMPE, AZ 85283-4548
(602) 500-1264
Mailing address
600 W GROVE PKWY APT 1083, TEMPE, AZ 85283-4548
(602) 500-1264
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
09/10/2024
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