Individual
JENNA JACQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
11438 N 70TH ST, SCOTTSDALE, AZ 85254-5176
(623) 606-7557
Mailing address
11438 N 70TH ST, SCOTTSDALE, AZ 85254-5176
(623) 606-7557
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
326151
AZ
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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