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NPI Code Detail

MEDICARE: MS. JENNIFER LINEHAN NP

MEDICARE: MS. JENNIFER LINEHAN NP
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
1363L00000XNurse PractitionerRN093122AZ
2363LP0808XPsychiatric/Mental Health Nurse PractitionerRN093122AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467547414
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JENNIFER LINEHAN NP
Provider Business Mailing Address
First Line : 1930 S ALMA SCHOOL RD STE A206
Second Line :
City : MESA
State : AZ
Zip : 85210-3066
Country : US
Telephone Number : 480-779-9050
Fax Number : 480-717-4025
Provider Business Practice Location Address
First Line : 1930 S ALMA SCHOOL RD STE A206
Second Line :
City : MESA
State : AZ
Zip : 85210-3066
Country : US
Telephone Number : 480-779-9050
Fax Number : 480-717-4025
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 02/17/2026

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