Individual
JESSICA KURETICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 E BELL RD STE 18, PHOENIX, AZ 85022-2395
(480) 677-8282
(888) 316-1686
Mailing address
261 N ROOSEVELT AVE, CHANDLER, AZ 85226-2617
(480) 677-8282
(888) 316-1686
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
310495
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211952
—
AZ
Enumeration date
03/28/2024
Last updated
06/12/2026
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