Healthcare Provider Details

I. General information

NPI: 1528921426
Provider Name (Legal Business Name): AZONA WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14955 W BELL RD UNIT 8003
SURPRISE AZ
85374-8242
US

IV. Provider business mailing address

14955 W BELL RD UNIT 8003
SURPRISE AZ
85374-8242
US

V. Phone/Fax

Practice location:
  • Phone: 602-831-2333
  • Fax:
Mailing address:
  • Phone: 602-831-2333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER MEADOWS
Title or Position: OWNER
Credential: FNP
Phone: 602-300-5500