Individual provider · Type 1 NPI

Jennifer Moore Kruse, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Phoenix, AZ

NPI number 1053925008 Active

Practice location

500 W Thomas Rd Ste 230
Phoenix, AZ 85013-4245

Fax (602) 406-8099

Mailing address

PO Box 33269
Phoenix, AZ 85067-3269

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN198240 (AZ)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X252973 (AZ)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1053925008

Jennifer Moore Kruse, PMHNP-BC's National Provider Identifier is 1053925008, issued on Sep 6, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 25, 2024.