Individual
JENNIFER EMENIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
21436 E VIA DE ARBOLES, QUEEN CREEK, AZ 85142-5209
(214) 205-6115
Mailing address
21436 E VIA DE ARBOLES, QUEEN CREEK, AZ 85142-5209
(214) 205-6115
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
280350
AZ
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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