SearchArizona363LA2100X

Jaculin Kerouac, AGACNP

NPI 1265837827 · on the registry since 2014 · sole proprietor

Practice

Address
3501 N Scottsdale Rd Ste 320
Scottsdale, AZ 85251
Phone
(480) 882-5740
Organisation at this address
Hsp Inc
Mlve Inc.
G & E Ltd
Pharvestrx
Mahajal Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
105

Registry record

Primary taxonomy
363LA2100X
363LA2100X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-09-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona