Individual provider · Type 1 NPI
Jessica Nicole Fong Duty, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Phoenix, AZ
NPI number
1801472055
Active
Practice location
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Mailing address
2108 E Thomas Rd
Phoenix, AZ 85016-7761
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 261973 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1801472055
Jessica Nicole Fong Duty, PMHNP's National Provider Identifier is 1801472055, issued on Mar 18, 2021. 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 Dec 30, 2024.