Individual
SOPHIE SHIZUYO JESSOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2620 N 3RD ST STE 102, PHOENIX, AZ 85004-1153
(480) 756-6000
Mailing address
2620 N 3RD ST STE 102, PHOENIX, AZ 85004-1153
(928) 243-6434
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7422
AZ
Other
Enumeration date
02/14/2019
Last updated
07/30/2025
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