Individual
JENNA BROOKE PREWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1950 S COUNTRY CLUB DR STE 101, MESA, AZ 85210-6044
(480) 827-5500
Mailing address
8408 E SAGE DR, SCOTTSDALE, AZ 85250-6740
(480) 827-5500
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5351
AZ
363AS0400X
Surgical Physician Assistant
5351
AZ
Other
Enumeration date
02/28/2013
Last updated
06/05/2019
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