Individual
JENNIFER HEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
505 S CORTEZ ST, PRESCOTT, AZ 86303-4319
(928) 445-5211
Mailing address
103 W LEROUX ST, PRESCOTT, AZ 86303-4213
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
256714
AZ
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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