Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER ANN SHADE
Active Sole ProprietorJENNIFER ANN SHADE is a Primary Care Nurse Practitioner healthcare provider located in KINGMAN, Arizona. NPI 1922645696 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · KINGMAN, AZ
Registration Details
- NPI Number
- 1922645696
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 2, 2019 (6.6897154524729 yrs)
- Last Updated
- Mar 16, 2024
- License
-
RN164008 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1740 E BEVERLY AVE STE BKINGMAN, AZ, 864093564Browse AZ providers · Browse ZIP 86409
- Phone
- 9282631335
- Fax
- 9282720173
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
Other Primary Care Nurse Practitioner Providers in KINGMAN, AZ
| Name | Credential | NPI |
|---|---|---|
| MRS. JILLIAN MARIE MUSICK | FNP-C | 1306367842 |
| MRS. KATHLEEN B WALTON | FNP-C | 1801383963 |
| KELLY JO LEWIS | NURSE PRACTITIONER | 1104389451 |
| AMY ELSBURY | FNP-BC | 1417611559 |
| CYNTHIA MAE DARLINGTON | — | 1730046327 |
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.