Individual provider · Type 1 NPI
Jennifer Leigh Hanisch, AGACNP
Nurse Practitioner · Phoenix, AZ
Practice location
1111 E Mcdowell Rd
Phoenix, AZ 85006-2612
Mailing address
7314 S 26th Ln
Phoenix, AZ 85041-6475
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | PENDING (AZ) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1124667175
Jennifer Leigh Hanisch, AGACNP's National Provider Identifier is 1124667175, issued on Dec 21, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 20, 2021.