Stephanie Jenkins, R.N.
Registered Nurse, Administrator in Surprise, AZ. Individual provider (NPI-1).
NPI number1003237694
StatusActive
Last updated in NPPESOct 13, 2015
Details
- NPI
- 1003237694
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Jenkins
- Credential
- R.N.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 26, 2013
- Last updated
- Oct 13, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WA2000X | Registered Nurse, Administrator | RN107071 | AZ | Yes |
Practice location
14202 W Mauna Loa LnSurprise, AZ 85379-8669
Phone 623-238-2288
Mailing address
14202 W Mauna Loa LnSurprise, AZ 85379-8669
Phone 623-238-2288
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