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Jessica Waller

NPI 1619847175 · on the registry since 2025

Practice

Address
2325 E Camelback Rd Ste 400
Phoenix, AZ 85016
Phone
(602) 782-5222
Fax
(480) 900-8714
Organisation at this address
Kickstart Psychiatry
Ascension Healthcare
Advacare Homecare Llc
Allied Mobile Imaging, Llc
Eleve Private Health Group Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
385H00000X
385H00000X
Also registered as
343900000X
251E00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-01-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona