Healthcare Provider Details

I. General information

NPI: 1487258133
Provider Name (Legal Business Name): JENNIFER LYNN WARD DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER LYNN ROBINS

II. Dates (important events)

Enumeration Date: 11/24/2020
Last Update Date: 11/08/2022
Certification Date: 11/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3955 E FORT LOWELL RD
TUCSON AZ
85712-1041
US

IV. Provider business mailing address

3955 E FORT LOWELL RD
TUCSON AZ
85712-1041
US

V. Phone/Fax

Practice location:
  • Phone: 520-323-7277
  • Fax:
Mailing address:
  • Phone: 520-323-7277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN184132
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number254162
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: