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INNOVATIVE PRIMARY CARE CLINIC OF HAVASU PLLC
NPI 1588097349
Nurse Practitioner - Primary Care in Lake Havasu City, AZ

Active since August 15, 2013
297 LAKE HAVASU AVE S, SUITE 106, LAKE HAVASU CITY, AZ 86403(928) 854-7666(928) 854-7660 Get Directions Write a Review

NPPES record last updated: August 16, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Innovative Primary Care Clinic Of Havasu Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVATIVE PRIMARY CARE CLINIC OF HAVASU PLLC (NPI 1588097349) is a healthcare organization registered as a primary care in Lake Havasu City, Arizona and active in the NPI registry since August 2013. The organization lists Jacquelyn J. Meyer, President, as its authorized official.

NPPES Registry Identity

NPI1588097349
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameINNOVATIVE PRIMARY CARE CLINIC OF HAVASU PLLC
Location Address297 LAKE HAVASU AVE S, SUITE 106Lake Havasu City, AZ 86403-6526
Mailing AddressPo Box 27340Phoenix, AZ 85061-7340 · (602) 943-9200 · Fax (602) 216-3000
Phone(928) 854-7666
Fax(928) 854-7660
Organization SubpartNo
Authorized OfficialJacquelyn J. MeyerPresident · (928) 854-7666
Enumeration DateAugust 15, 2013
Last NPPES UpdateAugust 16, 2013
✔ NPI 1588097349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in AZ · AP1654
297 LAKE HAVASU AVE S, Lake Havasu City, AZ 86403
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAVASU NEUROLOGICAL CENTER PLLC
Psychiatry & Neurology (Neurology)
297 LAKE HAVASU AVE S, SUITE 106
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 680-4040
E FRANKLIN LIVINGSTONE MD PC
Physical Medicine & Rehabilitation
297 LAKE HAVASU AVE S, STE 106
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 854-0011
PANACEA BRAIN AND SPINE, LLC
Non-Pharmacy Dispensing Site
297 LAKE HAVASU AVE S, SUITE 204
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 453-2211
INNOVATIVE HEALTH AND WELLNESS CENTER
Registered Nurse (General Practice)
297 LAKE HAVASU AVE S, 200
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 854-7666
DESERT MOUNTAIN ORTHOPAEDICS & SPORTS MEDICINE LLC
Orthopaedic Surgery
297 LAKE HAVASU AVE S, SUITE 108
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 854-3333
DR. MAAME AMPOMAH DANKWAH MD, MPH
Psychiatry & Neurology (Neurology)
297 LAKE HAVASU AVE S, SUITE 106
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 680-4040
INNOVATIVE WOMENS HEALTH CARE OF HAVASU PLLC
Nurse Practitioner (Women's Health)
297 LAKE HAVASU AVE S, SUITE 106
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 854-7666

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Innovative Primary Care Clinic Of Havasu PLLC's NPI number?

The NPI number for Innovative Primary Care Clinic Of Havasu PLLC is 1588097349. It was assigned to this organization in the NPPES registry on August 15, 2013.

Where is Innovative Primary Care Clinic Of Havasu PLLC located?

Innovative Primary Care Clinic Of Havasu PLLC is located at 297 Lake Havasu Ave S Suite 106, Lake Havasu City, AZ 86403. The listed phone number is (928) 854-7666.

What is Innovative Primary Care Clinic Of Havasu PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Innovative Primary Care Clinic Of Havasu PLLC was last updated on August 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.