Individual
MRS. JENNIFER L NEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8630 E VIA DE VENTURA STE 201, SCOTTSDALE, AZ 85258
(480) 558-3744
(480) 558-3801
Mailing address
8630 E VIA DE VENTURA STE 201, SCOTTSDALE, AZ 85258-3358
(480) 558-3744
(480) 558-3801
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3186
AZ
363AM0700X
Medical Physician Assistant
3186
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3Z3901
HEALTHNET
AZ
05
—
936544
—
AZ
Enumeration date
10/10/2006
Last updated
09/16/2019
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