JENNIFER LYNN PACK ACNP-BC NPI 1457552317

NPI Information

NPI: 1457552317
Provider Name: JENNIFER LYNN PACK, ACNP-BC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Address:
3003 N CENTRAL AVE
SUITE 800
PHOENIX, AZ
ZIP 85012
Phone: (805) 320-4600
Get Directions

Jennifer Lynn Pack, ACNP-BC is an acute care nurse practitioner in Phoenix, AZ. Jennifer Lynn Pack, ACNP-BC NPI is 1457552317. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3003 N CENTRAL AVE
SUITE 800
PHOENIX, AZ
ZIP 85012-902
Phone: (805) 320-4600

The enumeration date for this NPI number is 5/29/2007 and was last updated on 5/14/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	11906	CALIFORNIA	No
2	363LA2100X	Nurse Practitioner	Acute Care	AP5170	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q41949	MEDICARE UPIN
2	WNP11906A	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »