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Search › Arizona › Psychiatric/Mental Health Nurse Practitioner

Jesse Fatoma

NPI 1407743891 · on the registry since 2025

Practice

Address
11770 W Davis Ln
Avondale, AZ 85323
Phone
(480) 217-8964
Organisation at this address
Jangay Psychiatric Services
Inferred from a shared address, not stated in the registry.

Additional practice sites

  • 11770 W Davis Ln, Avondale, AZ

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Also registered as
163WP0808X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-06-05

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