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Jetta Valle, MSN,PMHNP-BC,FNP-B
Addiction Medicine (Family Medicine) Physician in Mesa, Arizona
NPI 1720336910

Jetta Valle is an Addiction Medicine (Family Medicine) Physician based in Phoenix, AZ and is specialized in Addiction Medicine. Jetta Valle practices in Mesa, AZ and has the professional credentials of MSN,PMHNP-BC,FNP-B. The NPI Number for Jetta Valle is 1720336910 and holds a License No. 66001 (Arizona).

The current practice location address for Jetta Valle is 1705 W Main St, Mesa, AZ and can be reached out via phone at 877-809-5092 and via fax at 480-718-9477. You can also correspond with Jetta Valle through the mailing address at 3033 N CENTRAL AVE STE 145, PHOENIX, AZ - 85012-2808 (mailing address contact number: 623-583-3001).

Location: 1705 W Main St, Mesa, AZ, 85012-2808
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720336910
Provider Name
Jetta Valle
Credential
MSN,PMHNP-BC,FNP-B
Provider Entity Type
Individual
Gender
Female
Address
1705 W Main St, Mesa, AZ, 85012-2808
Phone Number
877-809-5092
Fax Number
480-718-9477
Provider Enumeration Date
08/21/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
204924 05 AZ
7100218950 05 KY
3810025120 05 WV
0072341 05 OH
institution
Provider Business Practice Location Address Details
Address
1705 W Main St
City
Mesa
State
Arizona
Zip
85201
Phone Number
877-809-5092
Fax Number
480-718-9477
person
Provider Business Mailing Address Details
Address
1705 W Main St
City
Mesa
State
Arizona
Zip
85201
Phone Number
877-809-5092
Fax Number
480-718-9477
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
207QA0401X
License No.
AP10652 (Arizona)
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
AP10652 (Arizona)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
3007628 (Kentucky)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
66001 (West Virginia)
Definition
Definition to come...
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