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Contact Information

JEREMY FICKEN, NP-C
750 N ESTRELLA PKWY
STE 40
GOODYEAR, AZ85338-9272
 Phone: 623-889-3477
 Fax: 623-889-3478
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Ambulatory Family Planning Facility

261QA0005X
Indicates primary specialty

NPI Profile & details for JEREMY FICKEN · (Male)

NPI Number 1699164202
Status Active
Credentials NP-C (Nurse Practitioner - Certified)
Entity Individual
Enumeration date 01/20/2015
Last updated 04/07/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 147824
  • CA License # 583861
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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