Individual provider · Type 1 NPI

Jeremy James Pene, NP

Family Nurse Practitioner · Prescott Valley, AZ

NPI number 1184960403 Active

Practice location

6546 E 2nd St Ste C
Prescott Valley, AZ 86314-3540

Fax (928) 327-7482

Mailing address

3165 Stillwater Dr
Prescott, AZ 86305-7173

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X603362 (CA)
Family Nurse Practitioner Primary 363LF0000X322104 (AZ)

Family Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1184960403

Jeremy James Pene, NP's National Provider Identifier is 1184960403, issued on Dec 13, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Prescott Valley, AZ. The record was last updated on Oct 15, 2026.