Jennifer Ann Shade
Nurse Practitioner - Primary Care | 6+ years Exp
1740 E Beverly Ave Ste B, Kingman
Arizona, 86409-3564
928-263-1335
Jennifer Ann Shade is a Kingman, Arizona based nurse practitioner with 6 years of experience in Primary Care. She completed her graduation in 2019. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jennifer Ann Shade is RN164008 for Primary Care in Arizona. Her current practice location is 1740 E Beverly Ave Ste B, Kingman. Patients can reach her at 928-263-1335 or can fax her at 928-272-0173 with specialization in Primary Care and her NPI number (Unique professional ID assigned by NPPES) is 1922645696.
Jennifer Ann Shade is educated, certified and licensed to provide comprehensive, chronic, continuous care characterized by a long-term relationship with the patient. Primary Care Nurse Practitioners (PCNPs) screen, diagnose, and treat common acute and chronic medical diseases and conditions. They are also involved in health promotion, screening, and educating about primary prevention.
Complete Profile:
Jennifer Ann Shade speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Jennifer Ann Shade |
| Specialization: | Primary Care Nurse Practitioner (PCNP) |
| Gender: | Female |
| Experience: | 6+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2019 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1740 E Beverly Ave Ste B, Kingman,
Arizona, 86409-3564 |
| Phone: | 928-263-1335 |
| Fax: | 928-272-0173 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 7911334222 |
| Enrollment ID: | I20200226002601 |
| NPI Number: | 1922645696 |
| NPI Enumeration Date: | 02 Dec, 2019 |
| NPI Last Update On: | 16 Mar, 2024 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jennifer Ann Shade are as mentioned below.
| License Number | Specialization | State | Status | |
| RN164008 | Primary Care | Arizona | Primary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (030055) | Kingman, AZ | Acute Care Hospital |
| (030069) | Lake havasu city, AZ | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Jennifer Ann Shade is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Kingman Healthcare, Inc (6901791367) | 172 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jennifer Ann Shade
1740 E Beverly Ave Ste B,
Kingman, Arizona |
| Zip: | 86409-3564 |
| Phone Number: | 928-263-1335 |
| Fax Number: | 928-272-0173 |
Patients can reach Jennifer Ann Shade at
1740 E Beverly Ave Ste B, Kingman, Arizona or can
call to book an appointment on 928-263-1335.
Comments/ Reviews:
Patients can read all the reviews posted for Jennifer Ann Shade below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Jennifer Ann Shade. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.