Individual
JENNA BUMGARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2300 S HOUGHTON RD STE 240, TUCSON, AZ 85748-0046
(520) 885-5300
(520) 885-5309
Mailing address
2300 S HOUGHTON RD STE 240, TUCSON, AZ 85748-0046
(520) 885-5300
(520) 885-5309
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
7499
AZ
363AM0700X
Medical Physician Assistant
Primary
7499
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
558891
—
AZ
Enumeration date
07/26/2019
Last updated
08/23/2025
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