Individual
JESSICA LAUREN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10613 W OLIVE AVE STE 200, PEORIA, AZ 85345-7339
(480) 677-8282
(844) 470-2777
Mailing address
261 N ROOSEVELT AVE, CHANDLER, AZ 85226-2617
(480) 677-8282
(844) 470-2777
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085.007549
IL
363A00000X
Physician Assistant
Primary
11042
AZ
363A00000X
Physician Assistant
3557
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252250
—
AZ
Enumeration date
05/27/2020
Last updated
09/05/2025
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