Healthcare Provider Details
I. General information
NPI: 1427982065
Provider Name (Legal Business Name): JESSICA VOEPEL RD
Entity Type: Individual
Gender:
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3499 S MERCY RD
GILBERT AZ
85297-0437
US
IV. Provider business mailing address
4259 E HARRISON ST
GILBERT AZ
85295-7754
US
V. Phone/Fax
- Phone: 480-355-8525
- Fax:
- Phone: 320-428-4848
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 133V00000X |
| Taxonomy | Registered Dietitian |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: