Diefenbach, Jessica A

Diefenbach, Jessica A is an individual health care provider with primary practice located at 4209 W Indigo Way , Flagstaff AZ 86001-8228. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Diefenbach, Jessica A can be contacted via phone (760) 731-0313.

Contact Information

Primary practice address
4209 W Indigo Way Flagstaff AZ 86001-8228
Phone: (760) 731-0313
Fax: (951) 587-8277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 276424 Arizona

Profile Details

NPI number 1861016735
LBN Legal business name Diefenbach, Jessica A
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2020
Last updated Nov 15th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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