Individual
JESSICA R WIPPRECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
743 MILLER VALLEY RD, PRESCOTT, AZ 86301-1813
(928) 777-9600
(855) 449-5560
Mailing address
743 MILLER VALLEY RD, PRESCOTT, AZ 86301-1813
(928) 777-9600
(855) 449-5560
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
320199
AZ
363LF0000X
Family Nurse Practitioner
Primary
320199
AZ
363LF0000X
Family Nurse Practitioner
SP017030
PA
363LP2300X
Primary Care Nurse Practitioner
SP017030
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103235021
—
PA
Enumeration date
12/21/2016
Last updated
04/23/2026
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