Individual provider · Type 1 NPI
Jennica Lines, NP
Family Nurse Practitioner · Gilbert, AZ
NPI number
1730741208
Active
Practice location
2487 S Gilbert Rd # 106-123
Gilbert, AZ 85295-8899
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 56879 (NM) |
| Family Nurse Practitioner Primary | 363LF0000X | 28861 (AZ) |
| Registered Nurse | 163W00000X | RN-87926 (NM) |
| Registered Nurse | 163W00000X | RN176538 (AZ) |
Family Nurse Practitioner: Definition to come...
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About NPI 1730741208
Jennica Lines, NP's National Provider Identifier is 1730741208, issued on Jul 3, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Gilbert, AZ. The record was last updated on Aug 3, 2026.