Individual
JESSICA BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9023 E DESERT COVE AVE STE 101, SCOTTSDALE, AZ 85260-6779
(480) 407-6400
(480) 407-6520
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(480) 418-3323
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP5174
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP5174
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12138390
CAQH
—
Enumeration date
06/30/2010
Last updated
06/19/2023
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