Individual
JESSICA JULIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3821 W ANGELA DR, GLENDALE, AZ 85308-3110
(480) 342-2000
Mailing address
3821 W ANGELA DR, GLENDALE, AZ 85308-3110
(480) 342-2000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN206156
AZ
363LA2100X
Acute Care Nurse Practitioner
Primary
333527
AZ
Other
Enumeration date
01/08/2026
Last updated
05/06/2026
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