Individual
MRS. JENNIFER ROSE WITTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
244 N EXTENSION RD, MESA, AZ 85201-6300
(480) 313-3760
Mailing address
244 N EXTENSION RD, MESA, AZ 85201-6300
(602) 730-3388
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
293252
AZ
Other
Enumeration date
05/19/2023
Last updated
09/19/2024
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