Individual
JACQUELINE O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-BC
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1060
(602) 933-8982
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-0008
(602) 933-3124
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP11276
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
294024
—
AZ
Enumeration date
03/24/2013
Last updated
10/22/2025
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