JEANETTE JUMAWAN


Address: 20401 N 73rd St, Suite 160, Scottsdale, AZ 85255-4107
Phone: 4802375727

JEANETTE JUMAWAN (NPI# 1063868057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063868057
Entity Type Individual
Full Name JEANETTE JUMAWAN
Credential FNP
Practice Address 20401 N 73rd St
Suite 160
Scottsdale
AZ 85255-4107
Mailing Address 4708 N 96th Ln
Phoenix
AZ 85037-1064
Practice Telephone 4802375727
Mailing Telephone 6233304012
Enumeration Date 2016-05-09
Last Update Date 2016-10-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP8547 AZ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 20401 N 73RD ST
SUITE 160
City SCOTTSDALE
State AZ
Zip Code 85255-4107

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083615686 Caryl S. Gorman Specialist 20401 N 73rd St, Suite 255, Scottsdale, AZ 85255-4107 2005-08-03
1629439005 Greater Phoenix Orthopedics Orthopaedic Surgery 20401 N 73rd St, Suite 155, Scottsdale, AZ 85255-4107 2016-03-14
1265803605 Arizona Institute for Sports Knees and Shoulders, LLC Orthopaedic Surgery 20401 N 73rd St, 160, Scottsdale, AZ 85255-4107 2015-10-12
1083024921 Mitchell Ryan Manway Dermatology 20401 N 73rd St, Suite 230, Scottsdale, AZ 85255-4107 2014-04-30
1952740573 Elizabeth Stori Johnson Specialist/Technologist 20401 N 73rd St, Ste 255, Scottsdale, AZ 85255-4107 2013-06-17
1609139138 Michelle Lynn Goedken Dermatology 20401 N 73rd St, Suite 230, Scottsdale, AZ 85255-4107 2012-06-19
1922382027 Ross Uthe Physician Assistant 20401 N 73rd St, Suite # 255, Scottsdale, AZ 85255-4107 2011-10-06
1609150010 Scottsdale Healthcare Corp Family Medicine 20401 N 73rd St, Suite 105, Scottsdale, AZ 85255-4107 2011-10-04
1851683742 Jena Auerbach Pathology 20401 N 73rd St, Suite 230, Scottsdale, AZ 85255-4107 2011-05-10
1215244496 Christina Marie Snyder Physician Assistant 20401 N 73rd St, Suite 230, Scottsdale, AZ 85255-4153 2010-09-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417427865 Inpatient Health LLC Internal Medicine 17470 Pacesetter Way, Scottsdale, AZ 85255 2018-11-28
1003391764 Daniel Andrew Wool Family Medicine 20801 N Scottsdale Rd Suite 205, Scottsdale, AZ 85255 2018-09-28
1225533953 Nona Lynel Dasenbrock Dietitian, Registered 10912 E Butherus Dr, Scottsdale, AZ 85255 2018-03-26
1376044248 Brandon A Hunter Physician Assistant 17300 N Perimeter Dr, Ste 150, Scottsdale, AZ 85255 2018-02-26
1235644048 Harmony Dental Partners, LLC Dentist 21809 N. Scottsdale Rd., Suite C105, Scottsdale, AZ 85255 2017-12-04
1093226698 Brenda Renee Junior Family Medicine 7920 E Thompson Peak Pkwy Ste 100, Scottsdale, AZ 85255 2017-10-23
1740790393 Sanus Dme LLC Durable Medical Equipment & Medical Supplies 17300 N Perimeter Dr, Ste 150, Scottsdale, AZ 85255 2017-10-10
1235651894 Jill Walker Physical Therapist 7900 E. Princess, Apt. 1063, Scottsdale, AZ 85255 2017-07-14
1780123000 Mcdowell Smile Life Dentistry LLC Dentist 10401 E. Mcdowell Mountain Ranch Rd Ste 130, Scottsdale, AZ 85255 2017-02-20
1942691779 Gregory Edin Dentist 11550 E Paradise Lane, Scottsdale, AZ 85255 2015-02-16
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063029700 Kayla Renee Pokrzywinski Nurse Practitioner 15425 N Greenway Hayden Loop Ste 300, Scottsdale, AZ 85260-1204 2020-09-27
1609483486 Emma May Nurse Practitioner 26804 N 70th Pl, Scottsdale, AZ 85266-8824 2020-09-25
1326654674 Nidhi Singh Nurse Practitioner 10842 N 127th Pl, Scottsdale, AZ 85259-4330 2020-09-22
1710592720 Kelly T Dowden Nurse Practitioner 7135 E Camelback Rd Ste 205, Scottsdale, AZ 85251-1290 2020-09-15
1770198020 Steve Joseph Csanyi Nurse Practitioner 812 N 87th St, Scottsdale, AZ 85257-4513 2020-09-14
1770196271 Amanda Marie Callahan Nurse Practitioner 3031 N Civic Center Plz Unit 219, Scottsdale, AZ 85251-7907 2020-08-25
1275143778 Maryam Abdishoo Nurse Practitioner 15095 N Thompson Peak Pkwy Unit 2005, Scottsdale, AZ 85260-2878 2020-08-09
1235748849 Karen Marie Marshall Nurse Practitioner 5644 E Saint John Rd, Scottsdale, AZ 85254-6413 2020-07-29
1386261907 Nicole Farnsworth Nurse Practitioner 2935 N 68th St Unit 215, Scottsdale, AZ 85251-6868 2020-06-30
1114543865 Amanda Rae Canizales Nurse Practitioner 33747 N Scottsdale Rd Ste 135, Scottsdale, AZ 85266-1566 2020-06-18
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Competitor

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City SCOTTSDALE
Zip Code 85255

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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