Individual
JACQUELINE ANN MAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
635 EAST BASELINE ROAD, PHOENIX, AZ 85042-6551
(602) 243-7277
(602) 243-1235
Mailing address
2702 NORTH 3RD STREET, SUITE 4020, PHOENIX, AZ 85004-4608
(602) 323-3344
(602) 323-3496
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN106639
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP1314
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
744690
—
AZ
01
—
P82389
UPIN NUMBER
AZ
Enumeration date
03/28/2006
Last updated
12/21/2011
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