Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer J Roan, FNP

Individual provider Family Nurse Practitioner · NPI 1629891452

Jennifer J Roan, FNP is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2023, 3 years ago. Practices with Minuteclinic LLC, a 574-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
3
Licensed in
AZ
In the registry since
2024
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

4742 E Indian School Rd
Phoenix, AZ 85018-5496
Phone: (480) 598-6776
Fax: (602) 954-2145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 313948 (AZ)

Record details

NPI number1629891452
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedOctober 31, 2024
Last updated in NPPESDecember 4, 2024
Certification dateDecember 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Minuteclinic Llc — 574 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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