MEDICARE: MRS. JENNIFER ANNE BILLINGSLEY WHNO

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	363LW0102X	Women's Health Nurse Practitioner	AP8081	AZ

General Provider Information

NPI Number	:	1861862989
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER ANNE BILLINGSLEY WHNO

Provider Business Mailing Address
First Line	:	PO BOX 81064
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44181-0064
Country	:	US
Telephone Number	:	602-494-5050
Fax Number	:	866-777-2248

Provider Business Practice Location Address
First Line	:	11209 N TATUM BLVD
Second Line	:	SUITE 255
City	:	PHOENIX
State	:	AZ
Zip	:	85028
Country	:	US
Telephone Number	:	602-494-5050
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/01/2015
Last Update Date	:	02/04/2026

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