Jennelle Lynne Suarez
Sports Medicine
15396 N 83rd Ave Ste C101
Peoria
, Arizona 85381
Jennelle Lynne Suarez
Sports Medicine
15396 N 83rd Ave Ste C101
Peoria
, Arizona 85381
(561) 672-9209
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About
Features
Specialties
- Sports Medicine
Languages spoken
- English
Location
First Address
- Jennelle Lynne Suarez
- 32305 N 23rd Ave
- Phoenix, AZ
- Zip : 85085-8027
- Phone : (561) 672-9209
Second Address
- Jennelle Lynne Suarez
- 15396 N 83rd Ave Ste C101
- Peoria, AZ
- Zip : 85381
- Fax : (623) 889-7411
- Phone : (623) 889-7398
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081S0010X | Sports Medicine | 7105 | AZ |
| Y | 213ES0000X | Sports Medicine | 7105 | AZ |
National Provider Identifier
| NPI | 1295233997 |
|---|---|
| Provider Name | Jennelle Lynne Suarez |
| First Address | Phoenix, AZ 85085-8027 |
| Second Address | Peoria, AZ 85381 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/01/2018 |
| Last Update Date | 07/06/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.