Individual
JENNIFER BERENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 N HUMPHREYS ST STE 104, FLAGSTAFF, AZ 86001-3124
(928) 779-3844
Mailing address
4046 S NICHOLAS ST, FLAGSTAFF, AZ 86005-6918
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11096
AZ
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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