Ollis, Jackie

Ollis, Jackie is an individual health care provider with primary practice located at 625 N Plaza Dr , Apache Junction AZ 85120-5501. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Ollis, Jackie can be contacted via phone (480) 474-5584.

Contact Information

Primary practice address
625 N Plaza Dr Apache Junction AZ 85120-5501
Phone: (480) 474-5584
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN197907 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP8521 Arizona

Profile Details

NPI number 1750735163
LBN Legal business name Ollis, Jackie
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2016
Last updated Mar 16th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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