Individual
MRS. JENNIFER GUESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1500 S WATSON RD STE 104, BUCKEYE, AZ 85326-8690
(623) 251-7559
Mailing address
3815 E BELL RD STE 2200, PHOENIX, AZ 85032-2139
(602) 633-3848
(602) 633-3841
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7173
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
465433
—
AZ
01
—
Z222975
MEDICARE
AZ
Enumeration date
11/01/2018
Last updated
04/18/2019
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