Individual
JENNIFER NIEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(303) 809-9242
Mailing address
4507 N 12TH ST, PHOENIX, AZ 85014-4239
(303) 809-9242
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
AZ
Other
Enumeration date
06/13/2018
Last updated
02/23/2021
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