Individual
JENNIFER EBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-0920
(602) 933-2492
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-0008
(602) 933-3124
Taxonomy
Speciality
Code
Description
License number
State
163WP0218X
Pediatric Oncology Registered Nurse
RN574726
PA
363LF0000X
Family Nurse Practitioner
12586123-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
292223
AZ
Other
Enumeration date
10/18/2021
Last updated
08/15/2023
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