Individual
JENNIFER NADINE STOCKTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2702 W YORKSHIRE DR APT 3100, PHOENIX, AZ 85027-3939
(480) 702-5285
Mailing address
1 CVS DR # MC2295, WOONSOCKET, RI 02895-6195
(866) 393-2727
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
229088
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
491261
—
AZ
Enumeration date
09/02/2020
Last updated
11/27/2023
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