Individual
MS. JAYNE GINKUS PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-BC
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 773-2048
(928) 773-2416
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 773-2048
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP5302
AZ
363LF0000X
Family Nurse Practitioner
ARNP 0969162 FL
FL
Other
Enumeration date
07/25/2006
Last updated
03/08/2019
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