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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JESSICA MAE MOODY, PHYSICIAN ASSISTANT

Active

MRS. JESSICA MAE MOODY, PHYSICIAN ASSISTANT is a Medical Physician Assistant healthcare provider located in PHOENIX, Arizona. NPI 1043349400 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · PHOENIX, AZ

Registration Details

NPI Number
1043349400
Provider Type
Individual
Gender
Female
NPI Issued
Mar 3, 2007 (19.407700705898 yrs)
Last Updated
Mar 31, 2023
Licenses
3474 (AZ)
3474 (AZ)

Practice Information

Address
11201 N TATUM BLVD STE 300
PHOENIX, AZ, 850286039
Browse AZ providers · Browse ZIP 85028
Phone
4809003556
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in PHOENIX, AZ

Name Credential NPI
CARL ROBERT VANSELOW PA 1730186198
GLADYS A ADAMS PA-C 1982603601
RANDALL A PENCE PA-C 1770576720
MS. SHERRI LYNN SESSLER PAC 1215920269
MARY ISABEL BRADY PA-C 1871586834
RUSSELL DODSON P.A.C. 1760475354
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.