Individual
JENNY WINSLOW MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3900 E CAMELBACK RD, 150, PHOENIX, AZ 85018-2614
(602) 368-5861
Mailing address
3900 E CAMELBACK RD, 150, PHOENIX, AZ 85018-2614
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F1216090
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F1216090
FAMILY NURSE PRACTITIONER
AZ
Enumeration date
12/20/2016
Last updated
12/20/2016
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