Individual
JENNIFER ANN NIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1653 E MCMURRAY BLVD STE 132, CASA GRANDE, AZ 85122-5934
(520) 876-0478
Mailing address
7169 S DODANE CT, GILBERT, AZ 85298-9098
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
229639
AZ
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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