Individual
JENNELLE LYNNE DALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9300 E RAINTREE DR STE 130, SCOTTSDALE, AZ 85260-7313
(602) 677-4312
Mailing address
4842 E EMILE ZOLA AVE, SCOTTSDALE, AZ 85254-3518
(561) 672-9209
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
7105
AZ
208VP0014X
Interventional Pain Medicine Physician
7105
AZ
363AM0700X
Medical Physician Assistant
7105
AZ
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
01/28/2018
Last updated
11/09/2024
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