Individual
JENNA ROSE ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016
(602) 933-0777
(602) 933-0755
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1813
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
56104
AZ
208M00000X
Hospitalist Physician
Primary
56104
AZ
Other
Enumeration date
04/28/2015
Last updated
09/12/2018
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