Individual
JENNIFER SOLOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
1944 MESQUITE AVE, LAKE HAVASU CITY, AZ 86403-5729
(928) 405-0079
Mailing address
25 RIVIERA BLVD, LAKE HAVASU CITY, AZ 86403-5694
(928) 505-5555
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
239721
AZ
363LG0600X
Gerontology Nurse Practitioner
239721
AZ
Other
Enumeration date
01/25/2024
Last updated
01/05/2026
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