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Individual

JENNIFER BANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7448 W GLENDALE AVE # C-140, GLENDALE, AZ 85303-2575
(480) 677-8282
(888) 316-1686
Mailing address
261 N ROOSEVELT AVE, CHANDLER, AZ 85226-2617
(480) 677-8282

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
248002
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
138264
AZ
Enumeration date
10/01/2020
Last updated
07/29/2025
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