Individual provider · Type 1 NPI
Jeffrey Scott Roth, FNP
Nurse Practitioner · Flagstaff, AZ
Practice location
1215 N Beaver St
Flagstaff, AZ 86001-3120
Fax (928) 773-2300
Mailing address
1200 N Beaver St
Flagstaff, AZ 86001-3118
Other practice locations
- 16196 W Gibson Ln, Goodyear, AZ 85338-3448 · (623) 640-4792
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 279848 (AZ) |
| Nurse Practitioner Primary | 363L00000X | 279848 (AZ) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1992424923
Jeffrey Scott Roth, FNP's National Provider Identifier is 1992424923, issued on Aug 23, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Flagstaff, AZ. The record was last updated on Aug 21, 2023.