SHANNON JACKLIN

PHOENIX, AZ
NPI1881464550
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  236574)
Enumeration Date2024-01-04
Last Update Date2024-01-04
Business Address
SHANNON JACKLIN APRN
3119 E ROSEMONTE DR
PHOENIX, AZ 85050-3451
Phone number: 262-384-1555
Mailing Address
SHANNON JACKLIN APRN
3119 E ROSEMONTE DR
PHOENIX, AZ 85050-3451
Phone number: 262-384-1555
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