Jacqueline Agenbroad, NP

NPI 1447222328 · on the registry since 2006

Practice

Address: 1300 N 12th St
Suite 407
Phoenix, AZ 85006
Phone: (602) 239-6762
Fax: (602) 239-5112
Organisation at this address: Banner Health
Acorn Usa Inc
Acorn Usa Inc
Banner Health
Premier Obgyn Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 343

Registry record

Primary taxonomy: 363L00000X
363L00000X
Also registered as: 363L00000X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-06-12

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