Individual
JESSICA ENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
1832 EAST CYPRESS STREET, PHOENIX, AZ 85006
(480) 225-7229
Mailing address
1832 EAST CYPRESS STREET, PHOENIX, AZ 85006
(480) 225-7229
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LP044342
AZ
363LA2100X
Acute Care Nurse Practitioner
Primary
297603
AZ
Other
Enumeration date
12/01/2009
Last updated
10/06/2023
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