Individual provider · Type 1 NPI
Jill Richey, CPNP-PC
Pediatric Nurse Practitioner · Phoenix, AZ
NPI number
1548895105
Active
Practice location
3830 E Van Buren St
Phoenix, AZ 85008-6920
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | RN192494 (AZ) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 273526 (AZ) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1548895105
Jill Richey, CPNP-PC's National Provider Identifier is 1548895105, issued on Mar 4, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 20, 2022.