Individual
JENNIFER LYNNE FORTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
625 W CORNELL DR, TEMPE, AZ 85283-1759
(480) 897-6233
(480) 838-0061
Mailing address
625 W CORNELL DR, TEMPE, AZ 85283-1759
(480) 897-6233
(480) 838-0061
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
254581
AZ
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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