Individual
JENESSA TYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1020 S EXTENSION RD, MESA, AZ 85210-3420
(480) 472-1201
Mailing address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3302
(480) 472-0562
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
264161
AZ
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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