Healthcare Provider Details

I. General information

NPI: 1174440010
Provider Name (Legal Business Name): JENNIFER MARIE KREGER MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7105 N LA CHOLLA BLVD
TUCSON AZ
85741-3112
US

IV. Provider business mailing address

11103 W BROWN WARE ST
MARANA AZ
85658-4633
US

V. Phone/Fax

Practice location:
  • Phone: 520-547-0611
  • Fax:
Mailing address:
  • Phone: 520-461-8172
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number342147
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: