JODI E BRAY, AGNP, Gerontology MESA, AZ

Contact Information

JODI E BRAY, AGNP

244 N EXTENSION RD
MESA, AZ 85201-6300

Phone: 602-263-5242
Fax: 602-595-4434
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Gerontology	363LG0600X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for JODI E BRAY · (Female)

NPI #	`1558986224`
Status	Active
Credentials	AGNP
Entity	Individual
Enumeration date	06/09/2020
Last updated	06/09/2020 - About 6 years ago
Sole proprietor ¹	No
Identifiers	AZ License # 241783
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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