Jennie A Becerra
Individual provider Active NPI Phlebotomy Technician · Phoenix, AZ
NPI 1508556085 · NPPES record last updated May 9, 2023
Key facts
- NPI
- 1508556085
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Phlebotomy Technician 246RP1900X
- Practice address
- 3101 N Central Ave Ste 183
Phoenix, AZ 85012-3616 - Phone
- (602) 516-2297
- NPI assigned
- May 9, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician |
246RP1900X | Yes |
Addresses
Primary practice location
3101 N Central Ave Ste 183
Phoenix, AZ 85012-3616
Mailing address
20250 W Tonto St
Buckeye, AZ 85326-8255
Phone (602) 516-2297
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.