| Doctor Name: | STEPHANIE JENKINS |
| NPI Number: | 1003237694 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | RN107071 |
| Business Practice Address: | 14202 W Mauna Loa Ln Surprise, AZ - 853798669 |
| Business Phone Number: | 6232382288 |
| Business Fax Number: | |
| Mailing Address: | 14202 W Mauna Loa Ln, SURPRISE |
| State: | AZ |
| Postal Code: | 853798669 |
| Phone Number: | 6232382288 |
| Fax Number: | |
| NPI Enumeration Date: | 12/26/2013 |
| NPI Last Update Date: | 10/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WA2000X |
| License Number: | RN107071 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Administrator |
| Taxonomy Definition: | |