Healthcare Provider Details

I. General information

NPI: 1699160697
Provider Name (Legal Business Name): JENNIFER CLAIRE ARONICA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2015
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 W CAREFREE HWY STE 144
PHOENIX AZ
85085-6096
US

IV. Provider business mailing address

7300 RANCH ROAD 2222, BUILDING 1, STE 200
AUSTIN TX
78730
US

V. Phone/Fax

Practice location:
  • Phone: 623-487-3003
  • Fax:
Mailing address:
  • Phone: 512-628-0465
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number58779
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: