Individual
MRS. JENNA LEE GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
2777 E CAMELBACK RD STE 200, PHOENIX, AZ 85016-4352
(602) 952-0002
(602) 224-9119
Mailing address
2777 E CAMELBACK RD STE 200, PHOENIX, AZ 85016-4352
(602) 952-0002
(602) 224-9119
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP10820
AZ
Other
Enumeration date
12/11/2017
Last updated
05/10/2021
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