Provider Demographics
NPI:1225467723
Name:SINNOTT, JONATHAN ADIN (NP-C)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:ADIN
Last Name:SINNOTT
Suffix:
Gender:M
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 N SAN DIEGO ST
Mailing Address - Street 2:
Mailing Address - City:TOMBSTONE
Mailing Address - State:AZ
Mailing Address - Zip Code:85638-0406
Mailing Address - Country:US
Mailing Address - Phone:520-432-6460
Mailing Address - Fax:520-457-1485
Practice Address - Street 1:7 N SAN DIEGO ST
Practice Address - Street 2:
Practice Address - City:TOMBSTONE
Practice Address - State:AZ
Practice Address - Zip Code:85638-0406
Practice Address - Country:US
Practice Address - Phone:520-432-6460
Practice Address - Fax:520-457-1485
Is Sole Proprietor?:No
Enumeration Date:2013-11-05
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRN 66439363LF0000X
AZ237496363LF0000X
MARNRN233262363LF0000X
AZAZNP237496207Q00000X
MARN233262363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine