Individual provider · Type 1 NPI

Jason Mendoza

Nurse Practitioner · Tucson, AZ

NPI number 1700660693 Active

Practice location

6200 N La Cholla Blvd
Tucson, AZ 85741-3529

Mailing address

804 Lochridge
Amarillo, TX 79118-1401

Other practice locations

  • 520 E 6th St, Odessa, TX 79761-4527 · (432) 582-8000

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X1132860 (TX)
Nurse Practitioner Primary 363L00000X338107 (AZ)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1700660693

Jason Mendoza's National Provider Identifier is 1700660693, issued on Aug 22, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tucson, AZ. The record was last updated on Apr 23, 2026.