JEREMY DAMON PATA NP NPI 1336039403

NPI Information

  • NPI: 1336039403
  • Provider Name: JEREMY DAMON PATA, NP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 10308 W ROBERTSON ST
    MARANA, AZ
    ZIP 85653
  • Phone: (520) 822-4534

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NPI Details

Jeremy Damon Pata, NP is a psychiatric/mental health nurse practitioner in Marana, AZ. Jeremy Damon Pata, NP NPI is 1336039403. 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:

10308 W ROBERTSON ST
MARANA, AZ
ZIP 85653-349
Phone: (520) 822-4534

The enumeration date for this NPI number is 7/8/2025 and was last updated on 7/8/2025.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health326622ARIZONAYes

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: 11/21/2025

NPI Synchronization or Removal

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