MA JESSICA MELIZZA GONZAGA FNP NPI 1740605526

NPI Information

Ma Jessica Melizza Gonzaga, FNP is a family nurse practitioner in Tucson, AZ. Ma Jessica Melizza Gonzaga, FNP NPI is 1740605526. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1501 N CAMPBELL AVE
BOX 245057
TUCSON, AZ
ZIP 85724-001
Phone: (520) 626-2239
Fax: (520) 626-2480

The NPI 1740605526 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 3/3/2014 and was last updated on 3/7/2023.

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:

Other Identifiers

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

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