Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

San Jose Integrated Clinic LLC

Organization Family Nurse Practitioner · NPI 1386287753

San Jose Integrated Clinic LLC is a Family Nurse Practitioner in San Luis, Arizona. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2000 E Juan Sanchez Blvd
San Luis, AZ 85336-0481
Phone: (928) 722-6098
Fax: (928) 627-0007
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1386287753
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clarisse Nguehanana — Ceo · (928) 722-6098
NPI enumeratedOctober 17, 2019
Last updated in NPPESOctober 17, 2019
Mailing address2575 W 24th St Apt 168, Yuma, AZ 85364-6066

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