Individual provider · Type 1 NPI

Lesley Jorgensen Klock, FNP-C

Family Nurse Practitioner · Phoenix, AZ

NPI number 1629423413 Active

Practice location

4430 E Ray Rd
Phoenix, AZ 85044-6092

Mailing address

374 W Citation Ln
Tempe, AZ 85284-1358

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP8476 (AZ)

Family Nurse Practitioner: Definition to come...

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About NPI 1629423413

Lesley Jorgensen Klock, FNP-C's National Provider Identifier is 1629423413, issued on Apr 28, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 28, 2016.