Individual
JANA DEE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
21755 N 77TH AVE STE 16, PEORIA, AZ 85382-2111
(623) 329-5199
Mailing address
8528 W CAVALIER DR, GLENDALE, AZ 85305-2504
(623) 329-5199
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F08250580
AZ
363LF0000X
Family Nurse Practitioner
Primary
F08250580
AZ
Other
Enumeration date
08/19/2025
Last updated
02/09/2026
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