960012 Jj Healthcare
Nurse Practitioner, Family in Phoenix, AZ. Organization (NPI-2).
NPI number1467745687
StatusActive
Last updated in NPPESJun 3, 2011
Details
- NPI
- 1467745687
- Entity type
- Organization (NPI-2)
- Legal business name
- 960012 Jj Healthcare
- Organization subpart
- No
- Enumeration date
- May 20, 2011
- Last updated
- Jun 3, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
| 111N00000X | Chiropractor | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Other names
- Metro Center Health Care (Doing Business As)
Practice location
10046 N Metro Pkwy W Ste 115Phoenix, AZ 85051-1411
Phone 602-889-5833 · Fax 602-889-5834
Mailing address
P.O. Box 2954Phoenix, AZ 85062-2954
Phone 602-889-5833 · Fax 602-889-5834
Authorized official
Jeff Jex
Manager
6026745515
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