Individual
JOSEPH JENNEFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13460 N 94TH DR STE J1, PEORIA, AZ 85381-4246
(623) 876-8816
(623) 298-0168
Mailing address
13460 N 94TH DR STE J1, PEORIA, AZ 85381-4246
(623) 876-8816
(623) 298-0168
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
220834
AZ
363LA2100X
Acute Care Nurse Practitioner
Primary
220834
AZ
363LG0600X
Gerontology Nurse Practitioner
220834
AZ
Other
Enumeration date
05/24/2019
Last updated
11/18/2024
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