Individual
MRS. JACKIE LYNN PLUMLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
45012 W HONEYCUTT AVE, MARICOPA, AZ 85239-2842
(520) 840-5454
Mailing address
42858 W KRISTAL LN, MARICOPA, AZ 85238-5888
(520) 423-9002
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP043604
AZ
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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