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Search › Arizona › Primary Care Nurse Practitioner

Jennifer Shade

NPI 1922645696 · on the registry since 2019 · sole proprietor

Practice

Address
1740 E Beverly Ave Ste B
Kingman, AZ 86409
Phone
(928) 263-1335
Fax
(928) 272-0173
Organisation at this address
Total Mind & Body
Overcome Counseling Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
Primary Care Nurse Practitioner
363LP2300X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-03-16

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