Most Relevant Information
Provider Data
| NPI Number: | 1003237694 |
| Provider Name: | STEPHANIE JENKINS R.N. |
| Entity Type: | Individual |
| Taxonomy Code: | 163WA2000X |
| Specialty: | Registered Nurse |
| License Number: | RN107071 |
Most Important Dates
| Enumeration Date: | 12/26/2013 |
| Last Updated: | 10/13/2015 |
Provider Practice Location
14202 W MAUNA LOA LN
SURPRISE
AZ
853798669
Practice Location Phone/Fax
| Phone: | 6232382288 |
| Fax: |
Provider Mailing Location
14202 W MAUNA LOA LN
SURPRISE
AZ
853798669
Provider Mailing Phone/Fax
| Phone: | 6232382288 |
| Fax: |