Stahlecker, Jennifer Kay
Stahlecker, Jennifer Kay is an individual health care provider with primary practice located at 1919 E Thomas Rd , Phoenix AZ 85016-7710. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Oncology, Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Stahlecker, Jennifer Kay can be contacted via phone (602) 933-0920.Contact Information
Primary practice address
1919 E Thomas Rd
Phoenix AZ 85016-7710
Phone: (602) 933-0920
Fax: (602) 933-2492
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | AP3647 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Oncology, Pediatrics | 364SX0204X | AP3647 | Arizona |
Profile Details
| NPI number | 1346537776 |
|---|---|
| LBN Legal business name | Stahlecker, Jennifer Kay |
| Credentials | Pediatric Nurse Practitioner (PNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2011 |
| Last updated | Sep 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346537776 | NPPES |
| Arizona | Other | AP3647 | LICENSE |
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