Individual
JESSICA GINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1929 W FILLMORE ST BLDG C, PHOENIX, AZ 85009-3812
(602) 254-0445
Mailing address
11652 S MANDAN ST, PHOENIX, AZ 85044-1815
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10316
AZ
Other
Enumeration date
05/02/2024
Last updated
07/02/2025
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