Individual
MS. JENNIFER T DI CECCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
39173 WHISPER WEST COURT, SOLDOTNA, AK 99669
(205) 396-6992
(907) 416-3345
Mailing address
39173 WHISPER WEST COURT, SOLDOTNA, AK 99669
(205) 396-6992
(907) 416-3345
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704431628
MI
363L00000X
Nurse Practitioner
AP60814170
WA
363LP2300X
Primary Care Nurse Practitioner
Primary
200646
AK
Other
Enumeration date
05/28/2006
Last updated
12/10/2025
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