Individual
JENNIFER V GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
35624 N 11TH AVE, PHOENIX, AZ 85086-8704
(973) 919-5158
Mailing address
35624 N 11TH AVE, PHOENIX, AZ 85086-8704
Taxonomy
Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
Primary
197368
AZ
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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