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

Mary Jacqueline Ronsayro

Individual provider Family Nurse Practitioner · NPI 1053930081

Mary Jacqueline Ronsayro is a Nurse Practitioner in Chandler, Arizona. Qualified in 2019, 7 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
7
Licensed in
AZ
In the registry since
2020
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Practice location Address checks out

1100 S Dobson Rd Ste 210
Chandler, AZ 85286-6160
Phone: (480) 669-1669
Fax: (480) 304-3459
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 240299 (AZ)

Record details

NPI number1053930081
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 9, 2020
Last updated in NPPESMay 18, 2020
Certification dateMay 18, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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