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NPI Code Detail

MEDICARE: MRS. JESSICA TAPIA FNP-BC

MEDICARE: MRS. JESSICA TAPIA FNP-BC
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
1363LF0000XFamily Nurse PractitionerAP8553AZ
2363LF0000XFamily Nurse Practitioner1507AK

General Provider Information

NPI Number : 1982095493
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JESSICA TAPIA FNP-BC
Provider Business Mailing Address
First Line : 8405 N PIMA CENTER PKWY STE 201
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85258-4670
Country : US
Telephone Number : 480-587-6775
Fax Number : 480-882-5040
Provider Business Practice Location Address
First Line : 8405 N PIMA CENTER PKWY STE 201
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85258-4670
Country : US
Telephone Number : 480-587-6775
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2015
Last Update Date : 07/21/2022

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