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

Jennifer Stathopoulos, APRN-RNP

Individual provider Family Nurse Practitioner · NPI 1447885702

Jennifer Stathopoulos, APRN-RNP is a Nurse Practitioner in San Tan Valley, Arizona. Qualified in 2020, 6 years ago. Practices with Banner Primary Care Physicians Arizona LLC, a 237-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
6
Licensed in
AZ
In the registry since
2020
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Practice location Address checks out

37100 N Gantzel Rd Ste 201
San Tan Valley, AZ 85140-7352
Phone: (480) 394-4469
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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 239197 (AZ)

Record details

NPI number1447885702
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-RNP
Sole proprietorNo
NPI enumeratedMarch 6, 2020
Last updated in NPPESAugust 27, 2020
Certification dateAugust 27, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Banner Primary Care Physicians Arizona Llc — 237 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in San Tan Valley