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Innovative Primary Care Clinic of Havasu Pllc

Primary Care Nurse Practitioner in Lake Havasu City, AZ · enumerated 2013 · authorized official Jacquelyn Meyer, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1588097349

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Registry record

Entity type Organization (Type 2)
Legal business name Innovative Primary Care Clinic of Havasu Pllc
Practice address 297 Lake Havasu Ave S, Suite 106, Lake Havasu City, AZ, 86403
Phone (928) 854-7666
Fax (928) 854-7660
Enumeration date Aug 15, 2013
Last updated in NPPES Aug 16, 2013

Taxonomy & classification

363LP2300X Primary Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License AP1654 (AZ) Primary

Authorized official

Name Jacquelyn Meyer
Title President
Phone (928) 854-7666

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Innovative Primary Care Clinic of Havasu Pllc?
Innovative Primary Care Clinic of Havasu Pllc is registered in NPPES as a Primary Care Nurse Practitioner (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-08-16.