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Individual

JENNIFER LYNN THATCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
3805 E BELL RD FL 2, PHOENIX, AZ 85032-2105
(800) 233-3264
Mailing address
600 E MEDICAL CENTER BLVD APT 1806, WEBSTER, TX 77598-4358
(512) 779-3086

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
261978
AZ
363LF0000X
Family Nurse Practitioner
AP139048
TX

Other

Enumeration date
02/05/2019
Last updated
11/16/2021
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