Individual
JESSICA DUEMMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
500 W THOMAS RD STE 850, PHOENIX, AZ 85013-4218
(602) 406-1150
(602) 406-1159
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
308373
AZ
363L00000X
Nurse Practitioner
308373
AZ
363LA2200X
Adult Health Nurse Practitioner
Primary
308373
AZ
363LF0000X
Family Nurse Practitioner
308373
AZ
Other
Enumeration date
06/24/2024
Last updated
03/16/2026
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