Healthcare Provider Details

I. General information

NPI: 1225377898
Provider Name (Legal Business Name): JOYCELYN ANN CONNET FNP-C, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2013
Last Update Date: 08/07/2024
Certification Date: 08/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3645 S ROME ST STE 204
GILBERT AZ
85297-7338
US

IV. Provider business mailing address

837 E LODGEPOLE CT STE H5
GILBERT AZ
85298-7311
US

V. Phone/Fax

Practice location:
  • Phone: 623-777-4747
  • Fax:
Mailing address:
  • Phone: 520-240-8831
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP4819
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP4819
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: