Individual provider · Type 1 NPI
Bobby Jean Mickens, NP
Women's Health Nurse Practitioner · Phoenix, AZ
NPI number
1558773028
Active
Practice location
303 E Baseline Rd
Phoenix, AZ 85042-6530
Fax (602) 276-4427
Mailing address
3003 N Central Ave Ste 1600
Phoenix, AZ 85012-2908
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 2006020259 (MO) |
| Women's Health Nurse Practitioner Primary | 363LW0102X | 241811 (AZ) |
Women's Health Nurse Practitioner: Definition to come...
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About NPI 1558773028
Bobby Jean Mickens, NP's National Provider Identifier is 1558773028, issued on Jun 2, 2014. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 7, 2020.