person
Jennifer Ann Shade
Primary Care Nurse Practitioner in Kingman, Arizona
NPI 1922645696

Jennifer Ann Shade is a Primary Care Nurse Practitioner based in Kingman, AZ and is specialized in Primary Care. Jennifer Ann Shade practices in Kingman, AZ. The NPI Number for Jennifer Ann Shade is 1922645696 and holds a License No. RN164008 (Arizona).

The current practice location address for Jennifer Ann Shade is 1740 E Beverly Ave Ste B, Kingman, AZ and can be reached out via phone at 928-263-1335 and via fax at 928-272-0173. You can also correspond with Jennifer Ann Shade through the mailing address at 1740 E BEVERLY AVE STE B, KINGMAN, AZ - 86409-3564 (mailing address contact number: 928-263-1335).

Location: 1740 E Beverly Ave Ste B, Kingman, AZ, 86409-3564
person
Provider Profile Details
NPI Number
1922645696
Provider Name
Jennifer Ann Shade
Credential
Provider Entity Type
Individual
Gender
Female
Address
1740 E Beverly Ave Ste B, Kingman, AZ, 86409-3564
Phone Number
928-263-1335
Fax Number
928-272-0173
Provider Enumeration Date
12/02/2019
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
1740 E Beverly Ave Ste B
City
State
Zip
86409-3564
Phone Number
928-263-1335
Fax Number
928-272-0173
person
Provider Business Mailing Address Details
Address
1740 E Beverly Ave Ste B
City
State
Zip
86409-3564
Phone Number
928-263-1335
Fax Number
928-272-0173
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
RN164008 (Arizona)
Definition
Definition to come...
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