Individual
JEANMARIE RICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
12010 S WARNER ELLIOT LOOP STE 1, PHOENIX, AZ 85044-2731
(480) 961-2366
Mailing address
2010 S DOBSON RD, CHANDLER, AZ 85286-7374
(443) 803-8361
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP10127
AZ
363LF0000X
Family Nurse Practitioner
R138811
MD
Other
Enumeration date
07/05/2017
Last updated
12/30/2025
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