Individual
JAMIE JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1003 WILLOW CREEK RD, PRESCOTT, AZ 86301-1641
(928) 445-2700
Mailing address
7545 N 31ST AVE, PHOENIX, AZ 85051-7565
(602) 677-5678
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10268
AZ
363A00000X
Physician Assistant
61880
CA
Other
Enumeration date
11/11/2022
Last updated
05/02/2024
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