Provider Demographics
NPI:1982095493
Name:TAPIA, JESSICA (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:
Last Name:TAPIA
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8405 N PIMA CENTER PKWY STE 201
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4670
Mailing Address - Country:US
Mailing Address - Phone:480-587-6775
Mailing Address - Fax:480-882-5040
Practice Address - Street 1:8405 N PIMA CENTER PKWY STE 201
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4670
Practice Address - Country:US
Practice Address - Phone:480-587-6775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP8553363LF0000X
AK1507363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily