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NPI Code Detail

MEDICARE: MRS. JACALYN R. SINN RN

MEDICARE:  MRS. JACALYN R. SINN  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN045484AZ

General Provider Information

NPI Number : 1396098968
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JACALYN R. SINN RN
Provider Business Mailing Address
First Line : 102 N PLUMER AVE
Second Line :
City : TUCSON
State : AZ
Zip : 85719-5906
Country : US
Telephone Number : 520-225-3262
Fax Number :
Provider Business Practice Location Address
First Line : 102 N PLUMER AVE
Second Line :
City : TUCSON
State : AZ
Zip : 85719-5906
Country : US
Telephone Number : 520-225-3262
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2012
Last Update Date : 10/19/2012

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