JENNIFER T DI CECCO, CRNP, Primary Care SOLDOTNA, AK

Contact Information

JENNIFER T DI CECCO, CRNP

39173 WHISPER WEST COURT
SOLDOTNA, AK 99669

Phone: 205-396-6992
Fax: 907-416-3345
Website: https://npir.org/providers/pa-apn/363lp2300x/vyctjb

Specialty	Taxonomy Code	Specialty Code	Provider Type
Primary Care	363LP2300X	50	Nurse Practitioner
Nurse Practitioner	363L00000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for JENNIFER T DI CECCO · (Female)

NPI Number	`1932156551`
Status	Active
Credentials	CRNP (Certified Registered Nurse Practitioner)
Entity	Individual
Enumeration date	05/28/2006
Last updated	12/10/2025 - About 6 months ago
Sole proprietor ¹	Yes
Identifiers	AK License # 200646 MI License # 4704431628 WA License # AP60814170
Hospital affiliation(s)	GERALD CHAMPION REGIONAL MEDICAL CENTE - (Acute Care) 2669 NORTH SCENIC DRIVE ALAMOGORDO, NM 88310 PLAINS REGIONAL MEDICAL CENTER CLOVIS - (Acute Care) 2100 N MARTIN LUTHER KING, JR, BLVD CLOVIS, NM 88101 REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES - (Acute Care) 1901 RED ROCK DRIVE GALLUP, NM 87301

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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JENNIFER T DI CECCO, CRNP – NPI #1932156551Primary Care

Contact Information

Specialty

Primary Care

Nurse Practitioner

NPI Profile & details for JENNIFER T DI CECCO · (Female)

Reviews for JENNIFER T DI CECCO

JENNIFER T DI CECCO, CRNP – NPI #1932156551
Primary Care