Individual provider · Type 1 NPI

Jung Baccam, FNP

Family Nurse Practitioner · Surprise, AZ

NPI number 1891495131 Active

Practice location

12361 W Bola Dr Ste 109
Surprise, AZ 85378-9021

Fax (623) 227-2000

Other practice locations

  • 7725 N 43rd Ave Ste 510, Phoenix, AZ 85051-5771 · (623) 207-5465
  • 16928 W Bell Rd Ste 701, Surprise, AZ 85374-8948 · (623) 850-0026

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X290121 (AZ)

Family Nurse Practitioner: Definition to come...

7 other providers at this address

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About NPI 1891495131

Jung Baccam, FNP's National Provider Identifier is 1891495131, issued on Mar 6, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Surprise, AZ. The record was last updated on Mar 20, 2025.