Individual provider Active NPI

Jennifer Marie Borbon, FNP-C

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1740866276
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
255372 Issued in AZ
Practice address
8240 N Stonehill Dr
Tucson, AZ 85743-1436
Phone
(520) 977-3687
NPI assigned
Mar 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 255372 AZ Primary

Addresses

Primary practice location

8240 N Stonehill Dr
Tucson, AZ 85743-1436

Mailing address

8240 N Stonehill Dr
Tucson, AZ 85743-1436
Phone (520) 977-3687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210712000922 AZ Practitioner - Nurse Practitioner 6709288921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Molden Enterprises LLC CurrentSince Apr 7, 2021 Accepting new patients

Locations

6336 N Oracle Rd
Ste 310
Tucson, AZ 85704
Phone (407) 701-6775

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1740866276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8240 N STONEHILL DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857431436",
            "telephone_number": "520-977-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8240 N STONEHILL DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857431436",
            "telephone_number": "520-977-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORBON",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "255372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.