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Individual

LINDA S JENNINGS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
CRNFA

Contact information

Practice address
1715 W NORTHERN AVE, PHOENIX, AZ 85021-5472
(602) 395-0718
(602) 277-8146
Mailing address
PO BOX 39179, PHOENIX, AZ 85069-9179
(602) 395-0718
(602) 277-8146

Taxonomy

Speciality
Code
Description
License number
State
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
RN031133
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
390790
AZ
01
AZ0147710
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
06/08/2006
Last updated
07/08/2007
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