MR. JORGE LUIS MENA FNP-C NPI 1891233037

NPI Information

NPI: 1891233037
Provider Name: MR. JORGE LUIS MENA, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2070 W RUDASILL RD STE 130
TUCSON, AZ
ZIP 85704
Phone: (520) 797-4468
Get Directions

MR. Jorge Luis Mena, FNP-C is a family nurse practitioner in Tucson, AZ with 8 years of experience. MR. Jorge Luis Mena, FNP-C NPI is 1891233037. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2070 W RUDASILL RD STE 130
TUCSON, AZ
ZIP 85704-891
Phone: (520) 797-4468
Fax: (520) 797-4502

The NPI 1891233037 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/8/2017 and was last updated on 3/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	345031	NEW YORK	No
2	363LF0000X	Nurse Practitioner	Family	251527	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q057958	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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