person
Jill Denise Dierks, FNP
Family Nurse Practitioner in Peoria, Arizona
NPI 1609303379

Jill Denise Dierks is a Family Nurse Practitioner based in Oelwein, AZ and is specialized in Family. Jill Denise Dierks practices in Peoria, AZ and has the professional credentials of FNP. The NPI Number for Jill Denise Dierks is 1609303379 and holds a License No. TAP10109 (Arizona).

The current practice location address for Jill Denise Dierks is 9947 W Happy Valley Rd Ste 104, Peoria, AZ and can be reached out via phone at 623-434-5748 and via fax at 623-566-9665.

Location: 9947 W Happy Valley Rd Ste 104, Peoria, AZ, 50662-3102
person
Provider Profile Details
NPI Number
1609303379
Provider Name
Jill Denise Dierks
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
9947 W Happy Valley Rd Ste 104, Peoria, AZ, 50662-3102
Phone Number
623-434-5748
Fax Number
623-566-9665
Provider Enumeration Date
05/12/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
N/A 01 AZ N/A
institution
Provider Business Practice Location Address Details
Address
9947 W Happy Valley Rd Ste 104
City
State
Zip
85383-1222
Phone Number
623-434-5748
Fax Number
623-566-9665
person
Provider Business Mailing Address Details
Address
9947 W Happy Valley Rd Ste 104
City
State
Zip
85383-1222
Phone Number
623-434-5748
Fax Number
623-566-9665
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
TAP10109 (Arizona)
Definition
Definition to come...
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