Most Relevant Information
Provider Data
| NPI Number: | 1003052804 |
| Provider Name: | JENA PATRICE BOYNTON WHNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LW0102X |
| Specialty: | Nurse Practitioner |
| License Number: | AP3239 |
Most Important Dates
| Enumeration Date: | 12/29/2008 |
| Last Updated: | 12/29/2008 |
Provider Practice Location
21321 E OCOTILLO RD
SUITE 127
QUEEN CREEK
AZ
852425996
Practice Location Phone/Fax
| Phone: | 4808887271 |
| Fax: | 4808887904 |
Provider Mailing Location
21321 E OCOTILLO RD
SUITE 127
QUEEN CREEK
AZ
852425996
Provider Mailing Phone/Fax
| Phone: | 4808887271 |
| Fax: | 4808887904 |