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Individual

JESSICA DUEMMEL

Active
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Individual

JESSICA DUEMMEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

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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