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NPI Code Detail

MEDICARE: DR. JOLENE THWEATT FNP

MEDICARE: DR. JOLENE THWEATT FNP
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 Practitioner267247AZ

General Provider Information

NPI Number : 1215696836
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOLENE THWEATT FNP
Provider Business Mailing Address
First Line : 1910 S STAPLEY DR STE 120
Second Line :
City : MESA
State : AZ
Zip : 85204-6676
Country : US
Telephone Number : 480-857-3187
Fax Number : 480-857-3467
Provider Business Practice Location Address
First Line : 1910 S STAPLEY DR STE 120
Second Line :
City : MESA
State : AZ
Zip : 85204-6676
Country : US
Telephone Number : 480-857-3187
Fax Number : 480-857-3467
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2021
Last Update Date : 02/03/2026

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Directions to “ DR. JOLENE THWEATT FNP” Practice Location

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