DEEPTHY JOLAL


Address: 4204 W Cactus Rd, Phoenix, AZ 85029-2924
Phone: 6025475919

DEEPTHY JOLAL (NPI# 1881058238) 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) 1881058238
Entity Type Individual
Full Name DEEPTHY JOLAL
Credential NP
Practice Address 4204 W Cactus Rd
Phoenix
AZ 85029-2924
Mailing Address 5542 W Cavedale Dr
Phoenix
AZ 85083-6369
Practice Telephone 6025475919
Mailing Telephone 6233371146
Enumeration Date 2016-04-12
Last Update Date 2016-04-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP8609 AZ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4204 W CACTUS RD
City PHOENIX
State AZ
Zip Code 85029-2924

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205209319 Tatiana Rupp Nurse Practitioner 4204 W Cactus Rd, Phoenix, AZ 85029-2924 2015-11-11
1124482864 The Little Clinic Clinic/Center 4204 W Cactus Rd, Phoenix, AZ 85029 2016-04-08

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1275038713 Jamilah Amirah Behavioral Analyst 11024 N 28th Dr Ste 110, Phoenix, AZ 85029 2018-03-27
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1467975698 Samantha June Collett Nurse Practitioner 3201 W Peoria Ave Ste 804, Phoenix, AZ 85029 2017-07-19
1073966347 Meka Joi Green Social Worker 11225 M 28th Dr, Suite C210, Phoenix, AZ 85029 2016-07-21
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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...

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NPI Name Taxonomy Address Enumeration
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1649895574 Jozzette Elaine Rubio Nurse Practitioner 1924 E Vineyard Rd, Phoenix, AZ 85042-5793 2020-06-16
1396360749 Ulivvo Inc. Nurse Practitioner 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 2020-06-11
1568087955 Christa Ann Colvin Nurse Practitioner 6800 E Mayo Blvd Apt 1211, Phoenix, AZ 85054-5619 2020-06-10
1497378541 Sharon Uchechi Joshua Nurse Practitioner 9117 W Virginia Ave, Phoenix, AZ 85037-4233 2020-05-23
1992326102 Ashley Elizabeth Hall Nurse Practitioner 15810 N 18th St, Phoenix, AZ 85022-3302 2020-04-28
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1295365724 Jessica Veasy Nurse Practitioner 7251 N 23rd Ave, Phoenix, AZ 85021-7714 2020-01-23
1568092526 Anuradha Lingamneni Nurse Practitioner 2313 E Dry Wood Rd, Phoenix, AZ 85024-8688 2020-01-18
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Competitor

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City PHOENIX
Zip Code 85029

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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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