Jeanmarie Ricks, CRNP
Nurse Practitioner, Family in Phoenix, AZ. Individual provider (NPI-1).
NPI number1982125464
StatusActive
Last updated in NPPESDec 30, 2025
Details
- NPI
- 1982125464
- Entity type
- Individual (NPI-1)
- Name
- Jeanmarie Ricks
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 5, 2017
- Certification date
- Dec 30, 2025
- Last updated
- Dec 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP10127 | AZ | Yes |
| 363LF0000X | Nurse Practitioner, Family | R138811 | MD |
Practice location
12010 S Warner Elliot Loop Ste 1Phoenix, AZ 85044-2731
Phone 480-961-2366
Mailing address
2010 S Dobson RdChandler, AZ 85286-7374
Phone 443-803-8361
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