Provider Demographics
NPI:1386814911
Name:NARDONE, JERI E (DC)
Entity Type:Individual
Prefix:DR
First Name:JERI
Middle Name:E
Last Name:NARDONE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 73199
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050-1037
Mailing Address - Country:US
Mailing Address - Phone:480-513-8900
Mailing Address - Fax:480-513-9395
Practice Address - Street 1:29834 N CAVE CREEK RD
Practice Address - Street 2:SUITE B110
Practice Address - City:CAVE CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85331-5836
Practice Address - Country:US
Practice Address - Phone:480-513-8900
Practice Address - Fax:580-513-9395
Is Sole Proprietor?:No
Enumeration Date:2008-03-11
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5151111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1912180696OtherNPPES GROUP NUMBER