Organization Active NPI

Jennifer Ann Kern PLLC

  • Primary Care Clinic/Center
  • Kingman, AZ
National Provider Identifier
1821656315
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
JENNIFER ANN KERN PLLC
Practice address
3880 N Stockton Hill Rd Ste 103-443
Kingman, AZ 86409-0595
Phone
(928) 846-5824
NPI assigned
May 30, 2019
Last updated
Dec 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Kern, NP
Title
FNP-BC
Phone
(928) 846-5824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3880 N Stockton Hill Rd Ste 103-443
Kingman, AZ 86409-0595

Mailing address

3880 N Stockton Hill Rd Ste 103-443
Kingman, AZ 86409-0595
Phone (928) 846-5824

National Provider Directory

National Provider Directory

Locations

1858 Golden Gate Ave
Kingman, AZ 86401
Phone (928) 377-3861

3880 N Stockton Hill Rd
Ste 103443
Kingman, AZ 86409
Phone (928) 846-5824

730 E Beale St
Kingman, AZ 86401
Phone (425) 750-5480

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575244800000",
    "number": "1821656315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 N STOCKTON HILL RD STE 103-443",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864090595",
            "telephone_number": "928-846-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 N STOCKTON HILL RD STE 103-443",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864090595",
            "telephone_number": "928-846-5824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER ANN KERN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-12-02",
        "status": "A",
        "authorized_official_last_name": "KERN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "FNP-BC",
        "authorized_official_telephone_number": "928-846-5824",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.