Individual provider · Type 1 NPI
Jennifer Ann Shade
Primary Care Nurse Practitioner · Kingman, AZ
NPI number
1922645696
Active
Practice location
1740 E Beverly Ave Ste B
Kingman, AZ 86409-3564
Fax (928) 272-0173
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | RN164008 (AZ) |
Primary Care Nurse Practitioner: Definition to come...
5 other providers at this address
- Overcome Counseling PLLCMental Health Counselor Kingman, AZ NPI 1154285997
- Total Mind & BodyPsychiatric/Mental Health Nurse Practitioner Kingman, AZ NPI 1538043039
- Alyssa JohnstonProfessional Counselor Kingman, AZ NPI 1780506550
- Deanna Marie Buchanan, PMHNPPsychiatric/Mental Health Nurse Practitioner Kingman, AZ NPI 1932098670
- Shawnda Nicole Young, MS, LAC, NCCMental Health Counselor Kingman, AZ NPI 1083578827
Other primary care nurse practitioner providers in Kingman
- Kelly Jo Lewis, NURSE PRACTITIONERPrimary Care Nurse Practitioner Kingman, AZ NPI 1104389451
- Jillian Marie Musick, FNP-CPrimary Care Nurse Practitioner Kingman, AZ NPI 1306367842
- Cynthia Mae DarlingtonPrimary Care Nurse Practitioner Kingman, AZ NPI 1730046327
- Kathleen B. Walton, FNP-CPrimary Care Nurse Practitioner Kingman, AZ NPI 1801383963
About NPI 1922645696
Jennifer Ann Shade's National Provider Identifier is 1922645696, issued on Dec 2, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Kingman, AZ. The record was last updated on Mar 16, 2024.