# THRIVE HEALTHCARE FNP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225785462
- **Authorized official:** JENNIFER LAKE KING NP (NP-C)
- **Authorized official phone:** (270) 832-5930

## Contact information

- **Practice address:** 1757 E CHESTNUT BLVD, LAKE HAVASU CITY, AZ 86404-8407
- **Practice address phone:** (270) 832-5930
- **Mailing address:** 1757 E CHESTNUT BLVD, LAKE HAVASU CITY, AZ 86404-8407
- **Mailing address phone:** (270) 832-5930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/08/2022
- **Last updated:** 03/08/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 080555 | — | AZ |