Individual
JESSICA RAE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
117 E MAIN ST, SUITE A 100, PAYSON, AZ 85541-5293
(928) 474-1714
(928) 468-7644
Mailing address
117 E MAIN ST, SUITE A 100, PAYSON, AZ 85541-5293
(928) 474-1714
(928) 468-7644
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5518
AZ
363A00000X
Physician Assistant
Primary
PA-1113
ID
Other
Enumeration date
11/07/2013
Last updated
02/26/2015
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