MEDICARE: JESSICA CRUZ PSYCHIATRIC SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1265383350
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JESSICA CRUZ PSYCHIATRIC SERVICES, LLC

Provider Business Mailing Address
First Line	:	17150 W RED FOX RD
Second Line	:
City	:	SURPRISE
State	:	AZ
Zip	:	85387-7170
Country	:	US
Telephone Number	:	602-570-3434
Fax Number	:

Provider Business Practice Location Address
First Line	:	2929 E CAMELBACK RD STE 119
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-4425
Country	:	US
Telephone Number	:	602-570-3434
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JESSICA MARIE CRUZ
Credential	:	PMHNP
Telephone Number	:	602-824-8404

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	05/04/2026

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