Individual provider · NPI-1
Roxane M. Jueckstock, FNP-BC
Nurse Practitioner, Family · Buckeye, AZ
NPI number1780044842
StatusActive
Last updated in NPPESApr 24, 2026
Details
- NPI
- 1780044842
- Entity type
- Individual (NPI-1)
- Name
- Roxane M. Jueckstock
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 2, 2016
- Certification date
- Apr 24, 2026
- Last updated
- Apr 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP8543 | AZ | Yes |
| 207Q00000X | Family Medicine | AP8543 | AZ |
Practice location
20640 W Roosevelt St Ste 104Buckeye, AZ 85326-1555
Phone 480-677-8282 · Fax 888-316-1686
Mailing address
261 N Roosevelt AveChandler, AZ 85226-2617
Phone 480-677-8282 · Fax 888-316-1686
Other practice locations
19550 W Indian School Rd Ste 102
Buckeye, AZ 85396-2078
Buckeye, AZ 85396-2078
Phone 480-677-8282 · Fax 888-316-1686
5110 W Mcdowell Rd
Phoenix, AZ 85035-3862
Phoenix, AZ 85035-3862
Phone 602-671-7068 · Fax 602-671-6946
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