Provider Demographics
NPI:1316177082
Name:FOLARIN, JEAN (NP)
Entity type:Individual
Prefix:MRS
First Name:JEAN
Middle Name:
Last Name:FOLARIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 733
Mailing Address - Street 2:
Mailing Address - City:MARANA
Mailing Address - State:AZ
Mailing Address - Zip Code:85653-0733
Mailing Address - Country:US
Mailing Address - Phone:520-490-4956
Mailing Address - Fax:520-300-7363
Practice Address - Street 1:1735 E FORT LOWELL RD STE 6
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-2358
Practice Address - Country:US
Practice Address - Phone:210-410-4995
Practice Address - Fax:520-300-7363
Is Sole Proprietor?:No
Enumeration Date:2009-07-16
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP4389163WP0808X, 163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health