JENNIFER ANN SHADE

KINGMAN, AZ
NPI1922645696
Former NameJENNIFER ANN GIFFIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: AZ  RN164008)
Enumeration Date2019-12-02
Last Update Date2024-03-16
Business Address
JENNIFER ANN SHADE
1740 E BEVERLY AVE STE B
KINGMAN, AZ 86409-3564
Phone number: 928-263-1335
Mailing Address
JENNIFER ANN SHADE
1740 E BEVERLY AVE STE B
KINGMAN, AZ 86409-3564
Phone number: 928-263-1335
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