Individual
JENNIFER MAE CARLILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
13395 N MARANA MAIN ST, MARANA, AZ 85653-7008
(520) 682-4111
(520) 682-3817
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 682-4111
(520) 682-3817
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP5088
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
829150
—
AZ
Enumeration date
07/11/2013
Last updated
01/10/2025
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