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NPI Code Detail

MEDICARE: MRS. JAMIE HUTCHINSON FNP

MEDICARE: MRS. JAMIE HUTCHINSON 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 PractitionerAP9547AZ

General Provider Information

NPI Number : 1568906089
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JAMIE HUTCHINSON FNP
Provider Business Mailing Address
First Line : 6677 W THUNDERBIRD RD STE A124
Second Line :
City : GLENDALE
State : AZ
Zip : 85306-3710
Country : US
Telephone Number : 623-773-2266
Fax Number :
Provider Business Practice Location Address
First Line : 6677 W THUNDERBIRD RD STE A124
Second Line :
City : GLENDALE
State : AZ
Zip : 85306-3710
Country : US
Telephone Number : 623-773-2266
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2016
Last Update Date : 10/20/2020

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