Individual
JENNIFER LYNN GRESHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1900 N HIGLEY RD, GILBERT, AZ 85234-1604
(480) 543-2485
Mailing address
2964 E CLARENDON AVE, PHOENIX, AZ 85016-7063
(520) 604-0017
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
156185
AZ
Other
Enumeration date
04/07/2015
Last updated
04/07/2015
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