Provider Demographics
NPI:1295526283
Name:ALBERT, JENNA (RN, BSN)
Entity type:Individual
Prefix:
First Name:JENNA
Middle Name:
Last Name:ALBERT
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:JENNA
Other - Middle Name:
Other - Last Name:SPEIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1800 N WILLIAMSON VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86305-5297
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1800 N WILLIAMSON VALLEY RD
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86305-5297
Practice Address - Country:US
Practice Address - Phone:928-541-2293
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ223725163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool