NPI 1093110314

Stephanie Lorraine Jernigan

Practitioner Nursing Home Administrator El Mirage, AZ

Practice location

Address: 12838 W Valentine Ave, El Mirage, AZ 85335-8206
Phone: (623) 266-3546

Registered specialties

Nursing Home Administrator Primary

Nursing Service Related Providers Taxonomy 376G00000X Licence AL8945H (AZ)

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Registry record

NPI: 1093110314
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Oct 2014
Record last updated: 29 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.