MEDICARE: AZONA WELLNESS

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
1	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1528921426
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AZONA WELLNESS

Provider Business Mailing Address
First Line	:	14955 W BELL RD UNIT 8003
Second Line	:
City	:	SURPRISE
State	:	AZ
Zip	:	85374-8242
Country	:	US
Telephone Number	:	602-831-2333
Fax Number	:

Provider Business Practice Location Address
First Line	:	14955 W BELL RD UNIT 8003
Second Line	:
City	:	SURPRISE
State	:	AZ
Zip	:	85374-8242
Country	:	US
Telephone Number	:	602-831-2333
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JENNIFER MEADOWS
Credential	:	FNP
Telephone Number	:	602-300-5500

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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Directions to “AZONA WELLNESS ” Practice Location

Language	Start Address	Practice Location

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