Individual
JENNIFER MARTINA LANDRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
601 W RIVERSIDE DR STE 2, PARKER, AZ 85344-5119
(928) 256-4110
(928) 256-4112
Mailing address
PO BOX 617, SOMERTON, AZ 85350-0617
(928) 315-7910
(928) 722-6113
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
240917
AZ
363LF0000X
Family Nurse Practitioner
F10181025
AL
Other
Enumeration date
01/03/2019
Last updated
05/05/2020
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