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NPI Code Detail

MEDICARE: JASON NORMAN CHAMBERLAIN FNP-C

MEDICARE: JASON NORMAN CHAMBERLAIN FNP-C
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 Practitioner316226AZ

General Provider Information

NPI Number : 1184447872
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON NORMAN CHAMBERLAIN FNP-C
Provider Business Mailing Address
First Line : 1270 W SILVERLAKE RD
Second Line :
City : TUCSON
State : AZ
Zip : 85713-2728
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1270 W SILVERLAKE RD
Second Line :
City : TUCSON
State : AZ
Zip : 85713-2728
Country : US
Telephone Number : 520-351-8334
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2024
Last Update Date : 11/01/2024

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