Jetta Derasin NP

  • NPI 1720336910
According to our database, the NPI number for Jetta Derasin NP is 1720336910 and activated since 11 years ago. Jetta Derasin NP is an individual provider who specializes in Nurse Practitioner, and the primary practice location is 1705 W Main St, Mesa, AZ 85201. You can also contact Jetta Derasin NP via telephone number is (877) 809-5092. Provider NPI information was last updated on 01/29/2019.

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Overview of Jetta Derasin NP

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 08/21/2012
  • Last updated: 01/29/2019

Primary Scrop of Practice

  • Taxonomy Code: 363L00000X
  • Specialty: Nurse Practitioner
  • License Number: 66001
  • License State: WV

Provider Mailing Address

  • Address: 3033 N Central Ave Ste 145
    Phoenix, AZ 85012
  • Phone: 623-583-3001
  • Fax: 623-974-6721

Provider Practice Location

  • Address: 1705 W Main St
    Mesa, AZ 85201
  • Phone: 877-809-5092
  • Fax: 480-718-9477

Scope of Practice

  • Taxonomy Code: 207QA0401X
  • Specialty: Addiction Medicine
  • License Number: AP10652
  • License State: AZ
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 0072341
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: OH
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jetta Derasin NP?
  • A: The npi number for Jetta Derasin NP is 1720336910.
  • Q: What are Jetta Derasin NP's specialties?
  • A: Jetta Derasin NP's specialties are Nurse Practitioner and different specialities.
  • Q: What is the medical license for Jetta Derasin NP?
  • A: The medical license number for Jetta Derasin NP is 66001 and issued in WV in USA.
  • Q: Where is Jetta Derasin NP practice location?
  • A: Jetta Derasin NP is practicing at 1705 W Main St, Mesa, AZ 85201.
  • Q: How to contact Jetta Derasin NP?
  • A: You can contact Jetta Derasin NP via 877-809-5092.
Medicare Specialty
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Addiction Medicine
Clinical Pharmacology
Family Medicine
Dental Assistant
Dental Public Health
Optometrist
Occupational Health
Sports Physician
Mental Health
Physical Therapist
Pharmacy Technician
Medical Technologist
Ph.D. Medical Genetics
Military Health Care Provider
Clinical Nurse Specialist
Family Health
Nurse Massage Therapist
Sports Medicine
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Content provided by MDNPI.com mainly comes from Centers for Medicare & Medicaid Services (CMS) published data and the FOIA-disclosable NPPES health care provider data file.