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NPI Code Detail

MEDICARE: MS. ALLISON NICOLE JENCKA PMHNP-BC, MSN

MEDICARE:  MS. ALLISON NICOLE JENCKA  PMHNP-BC, MSN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WS0200XSchool Registered NurseRN164666AZ
2163WS0200XSchool Registered NurseRN134666AZ

General Provider Information

NPI Number : 1952029662
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALLISON NICOLE JENCKA PMHNP-BC, MSN
Provider Business Mailing Address
First Line : 118 W JUNIPER AVE
Second Line :
City : FLAGSTAFF
State : AZ
Zip : 86001-1379
Country : US
Telephone Number : 928-607-2371
Fax Number :
Provider Business Practice Location Address
First Line : 3285 E SPARROW AVE
Second Line :
City : FLAGSTAFF
State : AZ
Zip : 86004-7794
Country : US
Telephone Number : 928-527-6163
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2022
Last Update Date : 01/18/2026

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Directions to “ MS. ALLISON NICOLE JENCKA PMHNP-BC, MSN” Practice Location

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