Individual
DANIELLE JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
: 44765 W. HATHAWAY AVE, MARICOPA, AZ 85138
(520) 788-6100
(520) 788-6140
Mailing address
PO BOX 10097, CASA GRANDE, AZ 85130-0020
(520) 381-0380
(520) 836-1826
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP7521
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011694
—
AZ
01
—
031916
MEDICARE
—
01
—
AP7521
LICENSE
AZ
01
—
Z168007
MEDICARE
—
Enumeration date
12/17/2014
Last updated
07/21/2022
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