Individual
JENIFER PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
920 E BROADWAY RD, MESA, AZ 85204-2107
(480) 472-1400
Mailing address
2849 E NORA ST, MESA, AZ 85213-1615
(602) 541-8829
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN145117
AZ
163WS0200X
School Registered Nurse
SN1120
AZ
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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