Individual
JENIFER M HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 773-4966
Mailing address
3352 E WICKIEUP LN, PHOENIX, AZ 85050-3975
(480) 773-4966
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
249504
AZ
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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