Individual
STEPHANIE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
14202 W MAUNA LOA LN, SURPRISE, AZ 85379-8669
(623) 238-2288
Mailing address
14202 W MAUNA LOA LN, SURPRISE, AZ 85379-8669
(623) 238-2288
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN107071
AZ
Other
Enumeration date
12/26/2013
Last updated
10/13/2015
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