Most Relevant Information
Provider Data
| NPI Number: | 1003516758 |
| Provider Name: | JESSICA JERDIN PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/09/2023 |
| Last Updated: | 10/24/2024 |
Provider Practice Location
500 W THOMAS RD STE 800
PHOENIX
AZ
850134217
Practice Location Phone/Fax
| Phone: | 6024061234 |
| Fax: | 6024066368 |
Provider Mailing Location
PO BOX 33269
PHOENIX
AZ
850673269
Provider Mailing Phone/Fax
| Phone: | 6024064786 |
| Fax: | 9166364358 |