Individual
JENNIFER L IRELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
337 E CORONADO RD, SUITE 201, PHOENIX, AZ 85004-1580
(602) 252-8081
(602) 252-1520
Mailing address
2149 E WARNER RD, SUITE 101, TEMPE, AZ 85284-3494
(480) 610-6100
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP2244
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
962200
—
AZ
Enumeration date
09/28/2006
Last updated
06/19/2012
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