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JENNIFER MAE CARLILE FNP-C

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1609217256

Individual Registrant:
 JENNIFER MAE CARLILE FNP-C
Gender: F
Sole Proprietor

Location and contact information for practice:
13395 N MARANA MAIN ST  MARANA, AZ 85653-7008 US
Tel: 520-682-4111  Fax: 520-682-3817

Contact information for business:
PO BOX 188  MARANA, AZ 85653-0188 US
Tel: 520-682-4111  Fax: 520-818-3630

Registration Information:
NPI: 1609217256
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
AZAP5088

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
829150AZ05




HEALTH CARE JOBS AZ - Page 1



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