Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEAN SIMON JOEL EDOUARD, PA
Active Sole ProprietorMR. JEAN SIMON JOEL EDOUARD, PA is a Physician Assistant healthcare provider located in PEORIA, Arizona. NPI 1619526217 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PEORIA, AZ
Registration Details
- NPI Number
- 1619526217
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 5, 2019 (6.9253576779054 yrs)
- Last Updated
- Oct 6, 2022
- Licenses
-
NJDCATEMP-000588 (NJ)21-308 (WI)PA01253 (RI)000430-P.A (PR)NJDCATEMP-00291 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6739 W CACTUS RDPEORIA, AZ, 853815311Browse AZ providers · Browse ZIP 85381
- Phone
- 5205278038
- Fax
- 6238890814
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Clinical Chemistry Technician
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in PEORIA, AZ
| Name | Credential | NPI |
|---|---|---|
| AMY MARIE YOUNG | PA-C | 1770571820 |
| TONI DENISE MUCKALA | PA-C, PHARMD | 1124008016 |
| JANET IRENE BONNER WEST | P.A. | 1992765150 |
| MS. TIFFANY L COOKE | PA-C | 1841242278 |
| DUSTIN C WAITE | PA-C | 1639119811 |
| JULIE A DAVINSON | PA-C | 1639119738 |
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.