Individual
MRS. JESSICA SAGE BLANK MENDONSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
363A00000X
Physician Assistant
Primary
AMD588
HI
363A00000X
Physician Assistant
—
WA
Other
Enumeration date
11/14/2013
Last updated
01/27/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up