MRS. JENNY MARIE HURST FAMILY NURSE PRACTIT NPI 1801592712

NPI Information

  • NPI: 1801592712
  • Provider Name: MRS. JENNY MARIE HURST, FAMILY NURSE PRACTIT
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11209 N TATUM BLVD #180
    PARADISE VALLEY FAMILY MEDICINE
    PHOENIX, AZ
    ZIP 85028
  • Phone: (602) 494-5155

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NPI Details

MRS. Jenny Marie Hurst, FAMILY NURSE PRACTIT is a family nurse practitioner in Phoenix, AZ with 2 years of experience. MRS. Jenny Marie Hurst, FAMILY NURSE PRACTIT NPI is 1801592712. 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:

11209 N TATUM BLVD #180
PARADISE VALLEY FAMILY MEDICINE
PHOENIX, AZ
ZIP 85028
Phone: (602) 494-5155
Fax: (602) 494-5115

The NPI 1801592712 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/2/2023 and was last updated on 6/17/2025.

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
1363LF0000XNurse PractitionerFamily10018908OREGONYes
2163W00000XRegistered Nurse200740371RNOREGONNo

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: 3/30/2025

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