Provider Demographics
NPI:1144277385
Name:CAMMARATA, JENNIFER E (RN)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:E
Last Name:CAMMARATA
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Gender:F
Credentials:RN
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Mailing Address - Street 1:5055 E BROADWAY BLVD
Mailing Address - Street 2:STE A100, ARIZONA COMMUNITY PHYSICIANS PC
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-3640
Mailing Address - Country:US
Mailing Address - Phone:520-327-0460
Mailing Address - Fax:520-795-0225
Practice Address - Street 1:7340 E SPEEDWAY BLVD
Practice Address - Street 2:STE 104, CLARA VISTA PEDIATRICS
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-1352
Practice Address - Country:US
Practice Address - Phone:520-547-7045
Practice Address - Fax:520-547-7060
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2012-02-10
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Provider Licenses
StateLicense IDTaxonomies
AZ075073363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner