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Search › Alaska › 172V00000X

Jennifer Theulen

NPI 1871139535 · on the registry since 2019

Practice

Address
4441 Diplomacy Dr
Anchorage, AK 99508
Phone
(907) 729-8880
Organisation at this address
Southcentral Foundation
Southcentral Foundation
Southcentral Foundation
Southcentral Foundation
Southcentral Foundation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
89

Additional practice sites

  • 4320 Diplomacy Dr, Anchorage, AK

Registry record

Primary taxonomy
172V00000X
172V00000X
Also registered as
104100000X
101YA0400X
Licence states on file
AK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-04-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska