Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jenny R Khan, FNP

Individual provider Family Nurse Practitioner · NPI 1487824322

Jenny R Khan, FNP is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2007, 19 years ago. Practices with Banner Primary Care Physicians Arizona LLC, a 237-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
19
Licensed in
AZ
In the registry since
2008
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

4530 E Muirwood Dr Ste 105
Phoenix, AZ 85048-7693
Phone: (480) 961-2307
Fax: (480) 961-0419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP2850 (AZ)

Record details

NPI number1487824322
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedMarch 6, 2008
Last updated in NPPESMay 31, 2024
Certification dateMay 31, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Banner Primary Care Physicians Arizona Llc — 237 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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