Prewitt, Jenna Brooke

Prewitt, Jenna Brooke is an individual health care provider with primary practice located at 1950 S Country Club Dr Ste 101 , Mesa AZ 85210-6044. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Prewitt, Jenna Brooke can be contacted via phone (480) 827-5500.

Contact Information

Primary practice address
1950 S Country Club Dr Ste 101 Mesa AZ 85210-6044
Phone: (480) 827-5500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 5351 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5351 Arizona

Profile Details

NPI number 1174863112
LBN Legal business name Prewitt, Jenna Brooke
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2013
Last updated Jun 5th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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