SearchArizona367A00000X

Jenessa Payano Stark, CNM, CPM

NPI 1821428517 · on the registry since 2013

Practice

Address
167 Main St
Tuba City, AZ 86045
Phone
(866) 976-5941
Clinicians at this address
40

Registry record

Primary taxonomy
367A00000X
367A00000X
Also registered as
176B00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-08-30

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