Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER WIDJAJA
ActiveJENNIFER WIDJAJA is a Gerontological Nurse Practitioner healthcare provider located in MESA, Arizona. NPI 1942008651 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · MESA, AZ
Registration Details
- NPI Number
- 1942008651
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 6, 2025 (1.3967981709682 yrs)
- Last Updated
- Mar 6, 2025
- License
-
317968 (AZ)
Practice Information
- Address
-
8035 E BROWN RDMESA, AZ, 852073901Browse AZ providers · Browse ZIP 85207
- Phone
- 6232951190
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
Other Gerontological Nurse Practitioner Providers in MESA, AZ
| Name | Credential | NPI |
|---|---|---|
| ANGELA CHUKWUDOLUE | NP | 1588624027 |
| DR. LINDA L TRELOAR | PHD, APRN, BC, NP-C | 1689682742 |
| AMPILI UMAYAMMA | NP | 1467901769 |
| DIEN DO | NP | 1609326289 |
| NANCY FULMORE | AGACNP-BC | 1023666146 |
| JODI E BRAY | AGNP | 1558986224 |
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.