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Individual

JACQUELINE M PINLAC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, APRN-CNP

Contact information

Practice address
2906 E UNION HILLS DR, PHOENIX, AZ 85050-3430
(602) 699-4536
(803) 265-0563
Mailing address
2906 E UNION HILLS DR, PHOENIX, AZ 85050-3430
(602) 699-4536
(803) 265-0563

Taxonomy

Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
AP10440
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP10440
AZ

Other

Enumeration date
07/23/2017
Last updated
02/15/2023
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