MEDICARE: JENNIFER GARRICK NP

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
1	363LF0000X	Family Nurse Practitioner	AP8232	AZ
2	363L00000X	Nurse Practitioner	AP8232	AZ

General Provider Information

NPI Number	:	1275904146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER GARRICK NP

Provider Business Mailing Address
First Line	:	20789 S 209TH ST
Second Line	:
City	:	QUEEN CREEK
State	:	AZ
Zip	:	85142-6532
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	20185 E OCOTILLO RD STE 104
Second Line	:
City	:	QUEEN CREEK
State	:	AZ
Zip	:	85142-7663
Country	:	US
Telephone Number	:	602-799-0976
Fax Number	:	480-864-4399

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2015
Last Update Date	:	08/29/2025

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