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

Sj Medical Group

Organization Primary Care Nurse Practitioner · NPI 1669865408

Sj Medical Group is a Primary Care Nurse Practitioner in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2015.

Licensed in
AZ
In the registry since
2015

Practice location Address checks out

4622 N 35th Ave
Phoenix, AZ 85017-3403
Phone: (602) 753-0667
Fax: (602) 441-2202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence AP7650 (AZ)

Record details

NPI number1669865408
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Immaculata Inyang — Provider · (602) 753-0667
NPI enumeratedMarch 17, 2015
Last updated in NPPESMarch 17, 2015
Mailing address4622 N 35th Ave, Phoenix, AZ 85017-3403

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