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Individual

ADRA JAEHNIG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9620 N METRO PKWY W STE 143, PHOENIX, AZ 85051-1441
(623) 295-4905
Mailing address
20325 N. 51ST AVE. BLDG 8 STE. 160, GLENDALE, AZ 85308-4622
(623) 466-6350

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
226306
AZ

Other

Enumeration date
01/02/2025
Last updated
10/02/2025
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