Individual
JENNIFER IACOVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
3244 S MILL AVE STE 101, TEMPE, AZ 85282-3688
(480) 214-0621
Mailing address
3244 S MILL AVE STE 101, TEMPE, AZ 85282-3688
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
156215
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP8783
AZ
Other
Enumeration date
06/11/2016
Last updated
05/16/2023
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