Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMY DERICKSON, PA-C
ActiveJEREMY DERICKSON, PA-C is a Physician Assistant healthcare provider located in MESA, Arizona. NPI 1821544503 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MESA, AZ
Registration Details
- NPI Number
- 1821544503
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2016 (9.9420203884258 yrs)
- Last Updated
- Oct 21, 2016
Practice Information
- Address
-
3720 E PUEBLO AVEMESA, AZ, 852061821Browse AZ providers · Browse ZIP 85206
- Phone
- 9282003526
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in MESA, AZ
| Name | Credential | NPI |
|---|---|---|
| MR. JOHN ANDREW NELSON | P.A.-C | 1992799662 |
| CHRISTINE ANN CARY | PA | 1538155874 |
| MELISSA CAROL GALLETTA | PAC | 1508841248 |
| LAURIE GIACOLETTO | PA-C | 1477539138 |
| RENEE M LITTLE | PA | 1205806122 |
| MICHAEL DARREN JACKSON | P.A. | 1154394039 |
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.