Individual
MRS. MATHENA JARDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2640 W BASELINE RD STE 111, PHOENIX, AZ 85041-6492
(480) 677-8282
Mailing address
261 N ROOSEVELT AVE, CHANDLER, AZ 85226-2617
(480) 677-8282
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
279035
AZ
Other
Enumeration date
08/08/2022
Last updated
12/29/2022
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