Slack, Jennifer Austin

Slack, Jennifer Austin is an individual health care provider with primary practice located at 4032 N Miller Rd Suite 108, Scottsdale AZ 85251-4572. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Other Service Providers / Prevention Professional. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Slack, Jennifer Austin can be contacted via phone (480) 360-2299.

Contact Information

Primary practice address
4032 N Miller Rd Suite 108 Scottsdale AZ 85251-4572
Phone: (480) 360-2299
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN001303 Nevada
Other Service Providers / Prevention Professional 405300000X AP3104 Arizona

Profile Details

NPI number 1649426826
LBN Legal business name Slack, Jennifer Austin
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2008
Last updated Jan 19th, 2017 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649426826 NPPES
Nevada MEDICAID 1649426826

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