Search › Arizona › 363LG0600X
Jodi Bray, AGNP
NPI 1558986224 · on the registry since 2020
Practice
- Address
- 244 N Extension Rd
Mesa, AZ 85201 - Phone
- (602) 263-5242
- Fax
- (602) 595-4434
- Organisation at this address
- Crossroads Extension
Crossroads Extension
Assisted Living Concepts Inc
Crossroads Extension Residential
Crossroads, Inc. - Integrated Health Care - ExtensionInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363LG0600X
363LG0600X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-06-09
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