Healthcare Provider Details

I. General information

NPI: 1285127241
Provider Name (Legal Business Name): KATIE NEUMARKER JALBERT AGACNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2018
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3615 S ROME ST
GILBERT AZ
85297-7335
US

IV. Provider business mailing address

9744 W BELL RD
SUN CITY AZ
85351-1343
US

V. Phone/Fax

Practice location:
  • Phone: 888-553-8346
  • Fax:
Mailing address:
  • Phone: 888-553-8346
  • Fax: 623-404-4530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number272469
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number272469
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: