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Individual

MRS. KRISTA MARIE JEDDI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
16224 S 14TH WAY, PHOENIX, AZ 85048-4047
(602) 318-7688
Mailing address
16224 S 14TH WAY, PHOENIX, AZ 85048-4047
(602) 318-7688

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
291282
AZ

Other

Enumeration date
05/05/2023
Last updated
05/05/2023
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