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Individual

DR. JACQUELINE M REVEAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, FNP-BC

Contact information

Practice address
5111 N SCOTTSDALE RD STE 150, SCOTTSDALE, AZ 85250-7075
(480) 970-1937
(480) 970-1938
Mailing address
28515 N NORTH VALLEY PKWY APT 3076, PHOENIX, AZ 85085-5425

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP9967
AZ

Other

Enumeration date
06/27/2017
Last updated
02/14/2019
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