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NPI Profile for JEANMARIE E MEAD in PRESCOTT, AZ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatrics |
163WP0200X |
| NPI # | 1417501867 |
|
| Status | Active | |
| Credentials | RN BSN | |
| Entity | Individual | |
| Enumeration date | 07/24/2019 | |
| Last updated | 07/24/2019 - About 7 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JEANMARIE E MEAD
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JEANMARIE E MEAD, RN BSN