Healthcare Provider Details

I. General information

NPI: 1326310020
Provider Name (Legal Business Name): JENNIFER MARIE SLONAKER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2012
Last Update Date: 07/18/2025
Certification Date: 07/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3507 S MERCY RD STE 101
GILBERT AZ
85297-0441
US

IV. Provider business mailing address

3507 S MERCY RD STE 101
GILBERT AZ
85297-0441
US

V. Phone/Fax

Practice location:
  • Phone: 480-926-0644
  • Fax: 480-926-0645
Mailing address:
  • Phone: 480-926-0644
  • Fax: 480-926-0645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberTAP4356
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number363L00000X
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: