Individual
MS. JENNIFER FRANCES MOYNIHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
406 E HACKAMORE ST, MESA, AZ 85203-3661
(602) 376-9155
Mailing address
406 E HACKAMORE ST, MESA, AZ 85203-3661
(602) 376-9155
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
RN159116
AZ
363L00000X
Nurse Practitioner
Primary
267970
AZ
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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