Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JACQUELINE LEA AGENBROAD, NP
ActiveNurse Practitioner · PHOENIX, AZ
Registration Details
- NPI Number
- 1447222328
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 3, 2006 (20.220937205599 yrs)
- Last Updated
- Jun 12, 2008
- Licenses
-
RN097748 (AZ)NP290 (AZ)
Practice Information
- Address
-
1300 N 12TH STSUITE 407PHOENIX, AZ, 850062848Browse AZ providers · Browse ZIP 85006
- Phone
- 6022396762
- Fax
- 6022395112
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
Other Nurse Practitioner Providers in PHOENIX, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. KATHLEEN B RICKARD | DNP, FNP-C | 1922003250 |
| MICHELE LYNN GOUGH | NP | 1093716995 |
| LISA DRUMMOND | NP | 1275525529 |
| JANET M FETT | ACNP | 1386637593 |
| JANET WALTERS | ANP | 1194718395 |
| LAURA ANN WESTFALL | FNP | 1144214412 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.