Individual
JENNYFER NAYELI WILLFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
616 E SOUTHERN AVE STE 103, MESA, AZ 85204-4941
(602) 569-3999
(602) 569-3887
Mailing address
1533 E WILLETTA ST, PHOENIX, AZ 85006-2935
(602) 569-3999
(602) 569-3887
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP11673
AZ
Other
Enumeration date
08/24/2018
Last updated
08/23/2019
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