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Individual

MRS. JESSICA ELIZABETH GREER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1138 N ALMA SCHOOL RD STE 120, MESA, AZ 85201
(888) 381-4858
Mailing address
1138 N ALMA SCHOOL RD STE 120, MESA, AZ 85201-3003
(888) 381-4858

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN156197
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP11017
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AP11017
ADVANCE NURSE PRACTITIONER LICENSE
AZ
05
AP11017
AZ
01
RN156197
NURSING LICENSE
AZ
Enumeration date
07/12/2017
Last updated
08/15/2018
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