Individual
MS. JENNIFER TJORHOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
19829 N 27TH AVE, PHOENIX, AZ 85027-4001
(623) 879-6100
Mailing address
42607 N NATIONAL TRL, ANTHEM, AZ 85086-8094
(623) 551-9978
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN096800
AZ
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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