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

Bobby Jean Mickens, NP

Individual provider Nurse Practitioner · NPI 1558773028

Bobby Jean Mickens, NP is a Nurse Practitioner in Phoenix, Arizona. Licensed in Arizona and Missouri. Registered with an NPI since 2014.

Licensed in
AZ, MO
In the registry since
2014
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

303 E Baseline Rd
Phoenix, AZ 85042-6530
Phone: (022) 437-2776
Fax: (602) 276-4427
Show map & directions

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

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 241811 (AZ)
Nurse Practitioner Taxonomy 363L00000X · Licence 2006020259 (MO)

Record details

NPI number1558773028
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 2, 2014
Last updated in NPPESJuly 7, 2020
Certification dateJuly 7, 2020
Mailing address3003 N Central Ave Ste 1600, Phoenix, AZ 85012-2908

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