Individual provider · Type 1 NPI
Jennifer Denise De la Garza, ACNPC-AG
Adult Health Nurse Practitioner · Surprise, AZ
NPI number
1972064558
Active
Practice location
15142 W Bell Rd Ste 121122
Surprise, AZ 85374-4583
Fax (623) 254-7281
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 224060 (AZ) |
| Acute Care Nurse Practitioner | 363LA2100X | 224060 (AZ) |
| Gerontology Nurse Practitioner | 363LG0600X | 224060 (AZ) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1972064558
Jennifer Denise De la Garza, ACNPC-AG's National Provider Identifier is 1972064558, issued on Mar 27, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Surprise, AZ. The record was last updated on Jul 14, 2026.