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NPI Code Detail

MEDICARE: JACOB ANDREW FIJAL RN

MEDICARE:   JACOB ANDREW FIJAL  RN
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
1163W00000XRegistered NurseRN211449AZ

General Provider Information

NPI Number : 1598549701
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACOB ANDREW FIJAL RN
Provider Business Mailing Address
First Line : 6131 E 26TH ST
Second Line :
City : TUCSON
State : AZ
Zip : 85711-6020
Country : US
Telephone Number : 520-668-1462
Fax Number :
Provider Business Practice Location Address
First Line : 6131 E 26TH ST
Second Line :
City : TUCSON
State : AZ
Zip : 85711-6020
Country : US
Telephone Number : 520-668-1462
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2023
Last Update Date : 08/21/2023

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Directions to “ JACOB ANDREW FIJAL RN” Practice Location

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