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

San Jose Integrated Clinic LLC

Organization Family Nurse Practitioner · NPI 1386287753

San Jose Integrated Clinic LLC provides Family Nurse Practitioner services in San Luis, Arizona. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2000 E Juan Sanchez Blvd
San Luis, AZ 85336-0481
Phone: (928) 722-6098
Fax: (928) 627-0007
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1386287753
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clarisse Nguehanana — Ceo · (928) 722-6098
NPI enumeratedOctober 17, 2019
Last updated in NPPESOctober 17, 2019
Mailing address2575 W 24th St Apt 168, Yuma, AZ 85364-6066

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