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Individual

JENNIFER K. BILLINGSLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
29455 N CAVE CREEK RD STE 118-520, CAVE CREEK, AZ 85331-3245
(602) 885-2495
Mailing address
29455 N CAVE CREEK RD STE 118-520, CAVE CREEK, AZ 85331-3245
(602) 885-2495

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP3012
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
317047
GROUP MEDICAID NUMBER
AZ
01
Z120390
GROUP MEDICARE NUMBER
AZ
Enumeration date
11/21/2008
Last updated
01/10/2023
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