person
Mrs. Jaimie Lukose, NP
Family Nurse Practitioner in Phoenix, Arizona
NPI 1457129819

Jaimie Lukose is a Family Nurse Practitioner based in Phoenix, AZ and is specialized in Family. Jaimie Lukose practices in Phoenix, AZ and has the professional credentials of NP. The NPI Number for Jaimie Lukose is 1457129819 and holds a License No. 237099 (Arizona).

The current practice location address for Jaimie Lukose is 4222 N 12Th St Ste 200, Phoenix, AZ and can be reached out via phone at 602-795-9223 and via fax at 602-795-9728.

Location: 4222 N 12Th St Ste 200, Phoenix, AZ, 85014-6024
person
Provider Profile Details
NPI Number
1457129819
Provider Name
Jaimie Lukose
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
4222 N 12Th St Ste 200, Phoenix, AZ, 85014-6024
Phone Number
602-795-9223
Fax Number
602-795-9728
Provider Enumeration Date
12/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4222 N 12Th St Ste 200
City
State
Zip
85014-6024
Phone Number
602-795-9223
Fax Number
602-795-9728
person
Provider Business Mailing Address Details
Address
4222 N 12Th St Ste 200
City
State
Zip
85014-6024
Phone Number
602-795-9223
Fax Number
602-795-9728
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
237099 (Arizona)
Definition
Definition to come...
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