| Doctor Name: | JENNY R KHAN |
| NPI Number: | 1487824322 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P.-C |
| License Number: | RN083412 |
| Business Practice Address: | 287 E Hunt Hwy Suite 105 San Tan Valley, AZ - 851435095 |
| Business Phone Number: | 4803052888 |
| Business Fax Number: | 4803052889 |
| Mailing Address: | 4600 S Mill Ave, Ste 280 TEMPE |
| State: | AZ |
| Postal Code: | 852826757 |
| Phone Number: | 4803052888 |
| Fax Number: | 4803052889 |
| NPI Enumeration Date: | 03/06/2008 |
| NPI Last Update Date: | 05/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN083412 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |