Individual
MRS. JESSICA LYNNE EDMONDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
17359 W SURPRISE FARMS LOOP N, SURPRISE, AZ 85388-0283
(623) 523-8490
Mailing address
11142 N 165TH DR APT 109, SURPRISE, AZ 85388-6644
(252) 955-7531
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
270274
NC
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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