IndividualActive
Jillian Kroneberger, RN
NPI 1114636719 · Emergency Registered Nurse · Fort Defiance, AZ
Provider details
- NPI number
- 1114636719
- Entity type
- Individual
- Primary specialty
- Emergency Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- RN215785 (AZ)
Specialties & taxonomies
Nursing Service Providers
Practice location
N12 & N7
Fort Defiance, AZ 86504
Phone: (928) 729-8000
Approximate (ZIP-level) locationGet directions
Mailing address
1355 E Cliffrose Ln
Flagstaff, AZ 86001-7850
Registry dates
- Enumerated
- 2022-11-22
- Last updated
- 2022-11-22
- Certified
- 2022-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.