Individual
MRS. JACKOLYN SUE HUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNNNP
Contact information
Practice address
5555 W THUNDERBIRD RD, NEONATOLOGY DEPARTMENT, GLENDALE, AZ 85306-4622
(602) 865-5915
(602) 865-5935
Mailing address
7720 N. 16TH ST., SUITE 425, PHOENIX, AZ 85020-4401
(623) 643-9235
(623) 643-9236
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
026766
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
444578
—
AZ
Enumeration date
03/20/2009
Last updated
10/07/2013
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