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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEREMY JAMES PENE, NP

Active

JEREMY JAMES PENE, NP is a Family Nurse Practitioner healthcare provider located in PRESCOTT, Arizona. NPI 1184960403 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · PRESCOTT, AZ

Registration Details

NPI Number
1184960403
Provider Type
Individual
Gender
Male
NPI Issued
Dec 13, 2012 (13.661094589774 yrs)
Last Updated
Sep 16, 2025
Licenses
322104 (AZ)
603362 (CA)

Practice Information

Address
3165 STILLWATER DR
PRESCOTT, AZ, 863057173
Browse AZ providers · Browse ZIP 86305
Phone
9282770875
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in PRESCOTT, AZ

Name Credential NPI
MR. DONALD LEE PIERCE FNP 1013912294
JANIS BOWERS N.P. 1649277922
COLLEEN J SPEIDELL FNP-BC 1639164072
MRS. REBECCA ANN OLDANI NP 1912993775
MR. JAMES ARCHIE RAMAGLINO FNP-C 1295722528
MRS. CAROLE EATON WAGNER FNP 1821085879
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.