Individual
KENNETH C JASMUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
(916) 636-4358
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
246386
AZ
363LA2100X
Acute Care Nurse Practitioner
246386
AZ
Other
Enumeration date
09/23/2020
Last updated
04/05/2024
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