Jennifer Nicole Vannorstran, FNP-C
Nurse Practitioner, Family in Tucson, AZ. Individual provider (NPI-1).
NPI number1417690751
StatusActive
Last updated in NPPESApr 14, 2022
Details
- NPI
- 1417690751
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Nicole Vannorstran
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 14, 2022
- Certification date
- Apr 14, 2022
- Last updated
- Apr 14, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | TEMP272841 | AZ | Yes |
Practice location
10000 S Wilmot RdTucson, AZ 85756-8699
Phone 520-574-0024
Mailing address
12770 E Hannah TrlVail, AZ 85641-6671
Phone 520-388-0007
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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