Individual
JENNIFER SHIFFLET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1537
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-0008
(602) 933-3124
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11307
AZ
363A00000X
Physician Assistant
PA9112494
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104523600
—
FL
Enumeration date
07/18/2019
Last updated
01/16/2026
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