Individual
MS. JENNIFER BUSENKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6704 W LATHAM ST, PHOENIX, AZ 85043-1400
(623) 226-3404
(623) 399-1277
Mailing address
6704 W LATHAM ST, PHOENIX, AZ 85043-1400
(623) 226-3404
(623) 399-1277
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5841
AZ
Other
Enumeration date
10/05/2014
Last updated
04/09/2021
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