person
Justin Randal Mickey, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Phoenix, Arizona
NPI 1932467727

Justin Randal Mickey is a Psychiatric/Mental Health Nurse Practitioner based in Phoenix, AZ and is specialized in Psychiatric/Mental Health. Justin Randal Mickey practices in Phoenix, AZ and has the professional credentials of PMHNP. The NPI Number for Justin Randal Mickey is 1932467727 and holds a License No. TAP4472 (Arizona).

The current practice location address for Justin Randal Mickey is 2500 E Van Buren St, Phoenix, AZ and can be reached out via phone at 602-220-6078 and via fax at 602-220-6293. You can also correspond with Justin Randal Mickey through the mailing address at 3420 E CLARENDON AVE, PHOENIX, AZ - 85018-5758 (mailing address contact number: 480-532-7765).

Location: 2500 E Van Buren St, Phoenix, AZ, 85018-5758
person
Provider Profile Details
NPI Number
1932467727
Provider Name
Justin Randal Mickey
Credential
PMHNP
Provider Entity Type
Individual
Gender
Male
Address
2500 E Van Buren St, Phoenix, AZ, 85018-5758
Phone Number
602-220-6078
Fax Number
602-220-6293
Provider Enumeration Date
04/30/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2500 E Van Buren St
City
State
Zip
85008-6037
Phone Number
602-220-6078
Fax Number
602-220-6293
person
Provider Business Mailing Address Details
Address
2500 E Van Buren St
City
State
Zip
85008-6037
Phone Number
602-220-6078
Fax Number
602-220-6293
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
TAP4472 (Arizona)
Definition
Definition to come...
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