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Individual

MISS JENNIFER MICHELLE WITHEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
2127 E BASELINE RD STE 107, TEMPE, AZ 85283-1537
(480) 897-7070
(844) 563-8236
Mailing address
2127 E BASELINE RD STE 107, TEMPE, AZ 85283-1537
(480) 897-7070
(844) 563-8236

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP5287
AZ
363LP2300X
Primary Care Nurse Practitioner
Primary
AP5287
AZ

Other

Enumeration date
11/25/2013
Last updated
10/03/2019
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