Individual provider · Type 1 NPI

Shannon Marie Jennings, AGACNP-BC

Acute Care Nurse Practitioner · Mesa, AZ

NPI number 1396493789 Active

Practice location

2024 S Baldwin Unit 76
Mesa, AZ 85209-1706

Call (504) 909-3872 Map

Mailing address

11426 E Petra Ave
Mesa, AZ 85212-1964

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN205721 (AZ)
Acute Care Nurse Practitioner Primary 363LA2100X276686 (AZ)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1396493789

Shannon Marie Jennings, AGACNP-BC's National Provider Identifier is 1396493789, issued on Mar 14, 2022. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Mesa, AZ. The record was last updated on Feb 10, 2024.