Individual
JAMIE TUMBLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14044 W CAMELBACK RD, SUITE 118 AND 216, LITCHFIELD PARK, AZ 85340-9428
(623) 547-2600
(623) 547-1899
Mailing address
14044 W CAMELBACK RD, SUITE 118, LITCHFIELD PARK, AZ 85340-9428
(623) 547-2600
(623) 547-1899
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
209010441
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
AP5549
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
969817
—
AZ
Enumeration date
12/09/2013
Last updated
01/19/2016
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