Search › Arizona › 363LA2100X
Shannon Jennings, AGACNP-BC
NPI 1396493789 · on the registry since 2022 · sole proprietor
Practice
- Address
- 2024 S Baldwin Unit 76
Mesa, AZ 85209 - Phone
- (504) 909-3872
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Also registered as
- 163W00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-02-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona