Individual
JENNIFER LYNN PACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
3003 N CENTRAL AVE, SUITE 800, PHOENIX, AZ 85012-2902
(805) 320-4600
Mailing address
3003 N CENTRAL AVE, SUITE 800, PHOENIX, AZ 85012-2902
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
11906
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
AP5170
AZ
Other
Enumeration date
05/29/2007
Last updated
05/14/2014
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