Individual
JENNIFER LEANNE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12010 S WARNER ELLIOT LOOP, PHOENIX, AZ 85044-2731
(480) 961-2366
Mailing address
PO BOX 9415, CHANDLER HEIGHTS, AZ 85127-9415
(480) 532-8241
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN120668
AZ
Other
Enumeration date
05/29/2016
Last updated
11/28/2016
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