Provider Demographics
NPI:1306632807
Name:GLEDHILL, JOCELYN ROSE (RN CLC)
Entity type:Individual
Prefix:
First Name:JOCELYN
Middle Name:ROSE
Last Name:GLEDHILL
Suffix:
Gender:F
Credentials:RN CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2931 N 16TH DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85015-6146
Mailing Address - Country:US
Mailing Address - Phone:623-398-9351
Mailing Address - Fax:
Practice Address - Street 1:2931 N 16TH DR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85015-6146
Practice Address - Country:US
Practice Address - Phone:623-398-9351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-19
Last Update Date:2025-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ364310163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant