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Individual

MRS. JENNA BERNAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-PC

Contact information

Practice address
931 E ELLIOT RD STE 115, TEMPE, AZ 85284
(480) 827-5640
Mailing address
9506 E NORA CIR, MESA, AZ 85207-2555

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN0000179119
AZ
363LP0200X
Pediatric Nurse Practitioner
Primary
APN0000019546
TN

Other

Enumeration date
01/12/2017
Last updated
05/24/2018
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