Individual provider · Type 1 NPI
Jennifer Lynn Pack, ACNP-BC
Acute Care Nurse Practitioner · Phoenix, AZ
NPI number
1457552317
Active
Practice location
3003 N Central Ave, Suite 800
Phoenix, AZ 85012-2902
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 11906 (CA) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | AP5170 (AZ) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1457552317
Jennifer Lynn Pack, ACNP-BC's National Provider Identifier is 1457552317, issued on May 29, 2007. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Phoenix, AZ. The record was last updated on May 14, 2014.