Individual
JACQUELINE SUE HESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2346 N CENTRAL AVE, PHOENIX, AZ 85004-1329
(602) 282-0078
(602) 282-0102
Mailing address
1919 E THOMAS RD, BLDG 2108, STE 101, PHOENIX, AZ 85016-7710
(602) 512-8029
(602) 512-8161
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP2305
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
436293
—
MT
Enumeration date
05/08/2008
Last updated
01/17/2013
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