Physician Compare National (NPI:1457662165)

HEALTHCARE PROVIDER: VERONCIA JEANNE FOX MSN, FNP-C, PMHNP-BC

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1457662165
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1153589460
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120215000944
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FOX
	Individual professional last name
Provider First Name	VERONCIA
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2010
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	41818 N VENTURE DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 150
	Group Practice or individual's line 2 address
City	ANTHEM
	Group Practice or individual's city
State	AZ
	Group Practice or individual's state
Zip Code	850863190
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y