Organization · Type 2 NPI

BJD Inc

Family Nurse Practitioner · Yuma, AZ

NPI number 1255976403 Active

Practice location

1025 W 24th St Ste 26
Yuma, AZ 85364-8372

Fax (928) 328-1056

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	None listed

Family Nurse Practitioner: Definition to come...

4 other providers at this address

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NPI record

NPI: 1255976403
Entity type: Organization (Type 2)
Issued: Nov 12, 2019
Last updated: Sep 13, 2024
Status: Active

Other names

<unavail>
Radiant Adult Medical Group · doing business as
Radiant Adult Medical Group · doing business as

Authorized official

Jennivyr Derakhshan
President
(928) 483-9911

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1255976403

BJD Inc's National Provider Identifier is 1255976403, issued on Nov 12, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Yuma, AZ. The record was last updated on Sep 13, 2024.