Search › Arizona › 363LF0000X
Jung Baccam, FNP
NPI 1891495131 · on the registry since 2023
Practice
- Address
- 12361 W Bola Dr Ste 109
Surprise, AZ 85378 - Phone
- (623) 227-1000
- Fax
- (623) 227-2000
- Organisation at this address
- Sr Billing
Raghav Llc
Thinh Le Pllc
Physician United, Llc
Lawrence Kelly, Md PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 29
Additional practice sites
- 7725 N 43rd Ave Ste 510, Phoenix, AZ
- 16928 W Bell Rd Ste 701, Surprise, AZ
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-03-20
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