Provider Demographics
NPI:1568500403
Name:LIOI, JESSICA S (MS, ARNP)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:S
Last Name:LIOI
Suffix:
Gender:F
Credentials:MS, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11237 N BUFFALO DR
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN HILLS
Mailing Address - State:AZ
Mailing Address - Zip Code:85268-5303
Mailing Address - Country:US
Mailing Address - Phone:480-436-1038
Mailing Address - Fax:
Practice Address - Street 1:11237 N BUFFALO DR
Practice Address - Street 2:
Practice Address - City:FOUNTAIN HILLS
Practice Address - State:AZ
Practice Address - Zip Code:85268-5303
Practice Address - Country:US
Practice Address - Phone:480-436-1038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP3549363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner