Individual provider · Type 1 NPI
Jetta Valle, MSN, PMHNP, FNP
Psychiatric/Mental Health Nurse Practitioner · Queen Creek, AZ
NPI number
1720336910
Active
Practice location
21168 E Ocotillo Rd # 1271
Queen Creek, AZ 85142-8175
Fax (888) 205-9338
Other practice locations
- 21168 E Ocotillo Rd # 1271, Queen Creek, AZ 85142-8175 · (606) 571-5117
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | AP10652 (AZ) |
| Family Nurse Practitioner | 363LF0000X | AP10652 (AZ) |
| Primary Care Nurse Practitioner | 363LP2300X | AP10652 (AZ) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | AP10652 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1720336910
Jetta Valle, MSN, PMHNP, FNP's National Provider Identifier is 1720336910, issued on Aug 21, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Queen Creek, AZ. The record was last updated on Aug 24, 2025.