JESSICA L MIELCAREK PNP-AC NPI 1720600869

NPI Information

NPI: 1720600869
Provider Name: JESSICA L MIELCAREK, PNP-AC
Classification: Nurse Practitioner - 363LP0222X
Entity Type: Individual

Specialization: Pediatrics, Critical Care

PECOS Registration: Yes

Address:
1919 E THOMAS RD
PHOENIX, AZ
ZIP 85016
Phone: (602) 933-3000
Get Directions

Jessica L Mielcarek, PNP-AC is a pediatrics and critical care nurse practitioner in Phoenix, AZ. Jessica L Mielcarek, PNP-AC NPI is 1720600869. 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:

1919 E THOMAS RD
PHOENIX, AZ
ZIP 85016-710
Phone: (602) 933-3000

The NPI 1720600869 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 5/12/2020 and was last updated on 12/10/2020.

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	163WC0200X	Registered Nurse	Critical Care Medicine	242287	ARIZONA	No
2	163W00000X	Registered Nurse		RN150577	ARIZONA	No
3	363LP0222X	Nurse Practitioner	Pediatrics, Critical Care	242287	ARIZONA	Yes

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

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