Jesse Headapohl Fatoma
Nurse Practitioner - Psych/Mental Health
11770 W Davis Ln, Avondale
Arizona, 85323-7695
480-217-8964
Jesse Headapohl Fatoma is a Avondale, Arizona based nurse practitioner who is specialized as Psych/Mental Health NP. Active license number of Jesse Headapohl Fatoma is 326908 for Psych/Mental Health NP in Arizona. His current practice location is 11770 W Davis Ln, Avondale. Patients can reach him at 480-217-8964 with specialization in Psych/Mental Health NP and his NPI number (Unique professional ID assigned by NPPES) is 1407743891.
Jesse Headapohl Fatoma provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Jesse Headapohl Fatoma speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Jesse Headapohl Fatoma |
| Specialization: | Nurse Practitioner - Psych/Mental Health (PMHNP) |
| Gender: | Male |
| Practice Address: | 11770 W Davis Ln, Avondale,
Arizona, 85323-7695 |
| Phone: | 480-217-8964 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1407743891 |
| NPI Enumeration Date: | 19 Jun, 2025 |
| NPI Last Update On: | 05 Jun, 2026 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jesse Headapohl Fatoma are as mentioned below.
| License Number | Specialization | State | Status | |
| 326908 | Psych/Mental Health NP | Arizona | Primary | |
| RN204116 | Registered Nurse | Arizona | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jesse Headapohl Fatoma
11770 W Davis Ln,
Avondale, Arizona |
| Zip: | 85323-7695 |
| Phone Number: | 480-217-8964 |
Patients can reach Jesse Headapohl Fatoma at
11770 W Davis Ln, Avondale, Arizona or can
call to book an appointment on 480-217-8964.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 June, 2026.