Individual
JAMIE KEARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
815 E 15TH ST, DOUGLAS, AZ 85607-1631
(520) 364-5437
(520) 364-4261
Mailing address
4220 N 161ST AVE, GOODYEAR, AZ 85395
(520) 270-5258
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP7795
AZ
Other
Enumeration date
01/12/2017
Last updated
03/17/2018
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