Healthcare Provider Details

I. General information

NPI: 1083404131
Provider Name (Legal Business Name): JAZMIN OCHOA
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2025
Last Update Date: 05/12/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9185 E. PIMA PKWY STE. 200
SCOTTSDALE AZ
85258
US

IV. Provider business mailing address

9185 E. PIMA PKWY STE. 200
SCOTTSDALE AZ
85258
US

V. Phone/Fax

Practice location:
  • Phone: 877-571-7500
  • Fax:
Mailing address:
  • Phone: 877-571-7500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number259082
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: