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NPI Code Detail

MEDICARE: MRS. KRYSTAL JADE TELNES FNP-BC

MEDICARE:  MRS. KRYSTAL JADE TELNES  FNP-BC
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
1363LF0000XFamily Nurse Practitioner261458AZ

General Provider Information

NPI Number : 1942146618
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KRYSTAL JADE TELNES FNP-BC
Provider Business Mailing Address
First Line : 297 LAKE HAVASU AVE S STE 206
Second Line :
City : LAKE HAVASU CITY
State : AZ
Zip : 86403-6526
Country : US
Telephone Number : 928-235-4807
Fax Number :
Provider Business Practice Location Address
First Line : 297 LAKE HAVASU AVE S STE 206
Second Line :
City : LAKE HAVASU CITY
State : AZ
Zip : 86403-6526
Country : US
Telephone Number : 928-566-5381
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2026
Last Update Date : 05/22/2026

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Directions to “ MRS. KRYSTAL JADE TELNES FNP-BC” Practice Location

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