Individual
HEIDI JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1610 E CAMELBACK RD, PHOENIX, AZ 85016-3902
(602) 277-1727
Mailing address
1610 E CAMELBACK RD, PHOENIX, AZ 85016-3902
(602) 277-1727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP5319
AZ
Other
Enumeration date
12/01/2013
Last updated
03/29/2016
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