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Provider Profile

Jennifer Widjaja

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At a glance

About Jennifer Widjaja

Listed in the NPI registry as a nurse practitioner — gerontology, Jennifer Widjaja practices in Mesa, AZ. NPI 1942008651 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2023

Credentials & Licensing

AZ licenceAs reported to the NPI registry
No. 317968As reported
NPINational Provider Identifier
1942008651Issued 2025

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Jennifer Widjaja's specialty?

Jennifer Widjaja is a nurse practitioner in Mesa, AZ. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Gerontology”.

NPI registry

Where can I find Jennifer Widjaja?

Jennifer Widjaja is listed at 8035 E Brown Rd, Mesa, AZ 85207. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Jennifer Widjaja?

The number on file is (623) 295-1190. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Jennifer Widjaja?

Jennifer Widjaja's National Provider Identifier is 1942008651. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

What is Jennifer Widjaja's education?

Jennifer Widjaja attended Other, graduating in 2023. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Jennifer Widjaja have?

Jennifer Widjaja has 3 years experience. Calculated from a graduation year of 2023, reported in the CMS National Downloadable File.

CMS public data

Is Jennifer Widjaja's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Jennifer Widjaja. If this is you, claiming it is free.

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