Individual
MS. JEAN STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN APRN-BC
Contact information
Practice address
3003 N CENTRAL AVE, SUITE 800, PHOENIX, AZ 85012-2902
(602) 621-0596
Mailing address
15036 N MAYFLOWER DR, FOUNTAIN HILLS, AZ 85268-2251
(480) 836-1809
(480) 836-1814
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F330925
NY
363LF0000X
Family Nurse Practitioner
Primary
RN 103594 #702
AZ
363LG0600X
Gerontology Nurse Practitioner
F340487
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
382208
NY RN LICENSE
NY
01
—
446220
AHCCCS ID NUMBER
AZ
01
—
702
AZ NP CERTIFICATE
AZ
01
—
F330925
NY FNP LICENSE
NY
01
—
F340487
NY GNP LICENSE
NY
01
—
RN103594
AZ NURSING LICENSE
AZ
Enumeration date
10/29/2005
Last updated
03/07/2023
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