Individual
JENNIFER BOOZE-HAWKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, MSN
Contact information
Practice address
1510 E WAGON WHEEL LN, FORT MOHAVE, AZ 86426-6697
(928) 788-3333
Mailing address
4947 S CALLE DEL MEDIA, FORT MOHAVE, AZ 86426-6595
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP8599
AZ
Other
Enumeration date
04/02/2016
Last updated
04/02/2016
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