Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMY FICKEN, NP-C
Active Sole ProprietorFamily Nurse Practitioner · GOODYEAR, AZ
Registration Details
- NPI Number
- 1699164202
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 20, 2015 (11.253608823732 yrs)
- Last Updated
- Apr 7, 2015
- Licenses
-
147824 (AZ)583861 (CA)147824 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
750 N ESTRELLA PKWYSTE 40GOODYEAR, AZ, 853389272Browse AZ providers · Browse ZIP 85338
- Phone
- 6238893477
- Fax
- 6238893478
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Ambulatory Family Planning Facility
- Additional Specialty
- Ambulatory Family Planning Facility
Other Family Nurse Practitioner Providers in GOODYEAR, AZ
| Name | Credential | NPI |
|---|---|---|
| ERICH A WIDEMARK | PHD, FNP-BC | 1669468260 |
| MISS KATHRYN JOY PACKER | NURSE PRACTITIONER | 1700852928 |
| CAROL S ELDRIDGE | NP-C | 1215906714 |
| ADITI JOHNSON | FNP | 1730266289 |
| SUSAN A SCOTT | FNP | 1457497604 |
| BRIDGET DENISE BETHEA | NURSE PRACTITIONER | 1376733758 |
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.