MEDICARE: MRS. LAURA JEAN JOCHEN 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
1	363L00000X	Nurse Practitioner	300819	AZ

General Provider Information

NPI Number	:	1992586101
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LAURA JEAN JOCHEN FNP-C

Provider Business Mailing Address
First Line	:	1463 E ZION WAY
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85249-5196
Country	:	US
Telephone Number	:	480-518-3157
Fax Number	:

Provider Business Practice Location Address
First Line	:	3370 S MERCY RD STE 301
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85297-0417
Country	:	US
Telephone Number	:	480-637-0687
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2023
Last Update Date	:	12/05/2023

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