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Jereesha Shaunta Peacock
Ambulatory Care Registered Nurse in Kayenta, Arizona
NPI 1699433326

Jereesha Shaunta Peacock is an Ambulatory Care Registered Nurse based in Kayenta, AZ and is specialized in Ambulatory Care. Jereesha Shaunta Peacock practices in Kayenta, AZ. The NPI Number for Jereesha Shaunta Peacock is 1699433326 and holds a License No. 36163 (Arizona).

The current practice location address for Jereesha Shaunta Peacock is Hwy 160 M.p. 394, Kayenta, AZ and can be reached out via phone at 928-697-4000.

Location: Hwy 160 M.p. 394, Kayenta, AZ, 86033-0368
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699433326
Provider Name
Jereesha Shaunta Peacock
Credential
Provider Entity Type
Individual
Gender
Female
Address
Hwy 160 M.p. 394, Kayenta, AZ, 86033-0368
Phone Number
928-697-4000
Fax Number
Provider Enumeration Date
11/30/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
Hwy 160 M.p. 394
City
Kayenta
State
Arizona
Zip
86033
Phone Number
928-697-4000
Fax Number
person
Provider Business Mailing Address Details
Address
Hwy 160 M.p. 394
City
Kayenta
State
Arizona
Zip
86033
Phone Number
928-697-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Ambulatory Care
Taxonomy
163WP2201X
License No.
36163 (Wyoming)
Definition
Definition to come...
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