Individual
JESSICA RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
18555 N 79TH AVE STE D101, GLENDALE, AZ 85308-6040
(480) 563-6400
(480) 563-8009
Mailing address
PO BOX 6408, SCOTTSDALE, AZ 85261-6408
(480) 245-6008
(480) 563-8009
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP8833
AZ
Other
Enumeration date
04/13/2017
Last updated
10/26/2020
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