NPI Profile for JENNELLE L DALY in SCOTTSDALE, AZ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant | |
Interventional Pain Medicine |
208VP0014X | 09 | Physician/Interventional Pain Management | |
Sports Medicine |
2081S0010X | 25 | Physician/Physical Medicine and Rehabilitation |
| NPI Number | 1295233997 |
|
| Status | Active | |
| Credentials | PA-C (Physician Assistant-Certified) | |
| Entity | Individual | |
| Enumeration date | 01/28/2018 | |
| Last updated | 11/09/2024 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JENNELLE L DALY
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