Individual
JENNIFER ANN KERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1858 GOLDEN GATE AVE, KINGMAN, AZ 86401-4055
(928) 529-5349
(928) 529-5352
Mailing address
1858 GOLDEN GATE AVE, KINGMAN, AZ 86401-4055
(928) 529-5349
(928) 529-5352
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
AP7314
AZ
364SF0001X
Family Health Clinical Nurse Specialist
Primary
RN169351
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP7314
ADV NURSE PRACTITIONER
AZ
01
—
RN169351
AZ LICENSE
AZ
Enumeration date
07/23/2014
Last updated
01/29/2021
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