Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Jill Fagan, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1417863002

Jill Fagan, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner in Prescott, Arizona. Practices as a sole proprietor and works from 29 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2026
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

743 Miller Valley Rd
Prescott, AZ 86301-1813
Phone: (928) 777-9600
Fax: (855) 449-5560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (28)

  • 2500 Canyon Rd Ste A1, Bullhead City, AZ 86442-8492 — (928) 704-4499
  • 560 N Camino Mercado Ste 7, Casa Grande, AZ 85122-5759 — (520) 836-5538
  • 87 S State Route 89, Chino Valley, AZ 86323-5687 — (928) 404-1488
  • 450 S Willard St, Cottonwood, AZ 86326-6743 — (928) 634-9573
  • 3336 E Chandler Heights Rd Ste 132, Gilbert, AZ 85298-4264 — (480) 988-4645
  • 725 W Elliot Rd Bldg 3, Gilbert, AZ 85233-5301 — (480) 963-6144
  • 3530 S Val Vista Dr Ste C101, Gilbert, AZ 85297-7318 — (480) 840-9155
  • 18275 N 59th Ave, Glendale, AZ 85308-1260 — (602) 564-0078
  • 285 N Broad St, Globe, AZ 85501-2503 — (928) 425-8200
  • 3931 N Stockton Hill Rd, Kingman, AZ 86409-2426 — (928) 385-7100
  • 2501 N Stockton Hill Rd Ste 108, Kingman, AZ 86401-4140 — (928) 255-5050
  • 309 Lake Havasu Ave S, Lake Havasu City, AZ 86403-9309 — (928) 453-1970
  • 2035 Mesquite Ave, Lake Havasu City, AZ 86403-5894 — (928) 208-4598
  • 1923 McCulloch Blvd N Ste 101, Lake Havasu City, AZ 86403-6120 — (928) 208-4611
  • 3552 W Baseline Rd Ste 140, Laveen, AZ 85339-3042 — (602) 635-6951
  • 4135 S Power Rd Ste 129, Mesa, AZ 85212-3627 — (480) 751-3091
  • 9171 W Thunderbird Rd Ste 101, Peoria, AZ 85381-4872 — (623) 877-0100
  • 26224 N Tatum Blvd, Phoenix, AZ 85050-7500 — (480) 663-9632
  • 12075 E State Route 69 Ste B, Prescott Valley, AZ 86327-4569 — (928) 772-1673
  • 3251 N Windsong Dr, Prescott Valley, AZ 86314-1222 — (928) 772-2582
  • 21321 E Ocotillo Rd Ste 133, Queen Creek, AZ 85142-5995 — (480) 987-5525
  • 24871 S Ellsworth Rd Ste 100-458, Queen Creek, AZ 85142-1574 — (602) 300-0898
  • 1300 S 20th Ave, Safford, AZ 85546-3301 — (928) 428-3122
  • 286 S Lenzner Ave, Sierra Vista, AZ 85635-5685 — (520) 452-0388
  • 1620 E Wilcox Dr, Sierra Vista, AZ 85635-2778 — (520) 459-0362
  • 13926 W Bell Rd, Surprise, AZ 85374-3863 — (623) 850-0026
  • 2171 W Orange Grove Rd, Tucson, AZ 85741-3118 — (520) 297-3907
  • 5902 E Pima St, Tucson, AZ 85712-4322 — (520) 886-5315

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 259190 (AZ)

Record details

NPI number1417863002
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedAugust 21, 2026
Last updated in NPPESSeptember 15, 2026
Certification dateSeptember 15, 2026

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