King, Jennifer Lake

King, Jennifer Lake is an sole proprietor health care provider with primary practice located at 1016 S Joshua Ave , Parker AZ 85344-5057. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. King, Jennifer Lake can be contacted via phone (928) 669-9700.

Contact Information

Primary practice address
1016 S Joshua Ave Parker AZ 85344-5057
Phone: (928) 669-9700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 245759 Arizona

Profile Details

NPI number 1780294793
LBN Legal business name King, Jennifer Lake
Credentials MSN, FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2020
Last updated Oct 19th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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