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NPI Code Detail

MEDICARE: JJM MEDICAL

MEDICARE: JJM MEDICAL
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
1363LF0000XFamily Nurse Practitioner
2363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1033711312
Entity Type Code : Organization
Provider Name (Legal Business Name) : JJM MEDICAL
Provider Business Mailing Address
First Line : 7272 E INDIAN SCHOOL RD STE 540
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-3996
Country : US
Telephone Number : 480-207-5205
Fax Number : 480-393-1858
Provider Business Practice Location Address
First Line : 7272 E INDIAN SCHOOL RD STE 540
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-3996
Country : US
Telephone Number : 480-207-5205
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JANET L JAMES-MELVIN
Credential : PMHNP-BC, FNP-C
Telephone Number : 480-207-5205
Provider Enumeration Date : 11/12/2020
Last Update Date : 10/31/2022

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Directions to “JJM MEDICAL ” Practice Location

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