JESSICA MADRID

SAN CARLOS APACHE HEALTHCARE CORPORATION

Dr JESSICA MADRID is a female medical professional, specializing in Nurse Practitioner. She graduated in 2018.

Contact

SAN CARLOS APACHE HEALTHCARE CORPORATION

101 MEDICINE DR
BYLAS
AZ
85530

Tel: 9284757142

JESSICA MADRID Information

Npi 1528557485
Pac Id 4981959822
Professional Enrollment Id I20180619000063
Last Name MADRID
First Name JESSICA
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2018
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SAN CARLOS APACHE HEALTHCARE CORPORATION
Group Practice Pac Id 0648580597
Number Of Group Practice Members 92
Line 1 Street Address 101 MEDICINE DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City BYLAS
State AZ
Zip Code 85530
Phone Number 9284757142
Hospital Affiliation Ccn 1 030077
Hospital Affiliation Lbn 1 SAN CARLOS APACHE HEALTHCARE CORP
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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