Individual provider · Type 1 NPI

Jessica Antonel

Student in an Organized Health Care Education/Training Program · Tucson, AZ

NPI number 1023699477 Active

Practice location

6280 N. La Cholla Blvd, Suite A
Tucson, AZ 85741-3529

Call (520) 593-6875 Map

Fax (520) 545-0579

Mailing address

6080 N La Cholla Blvd Ste A
Tucson, AZ 85741-3555

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1023699477

Jessica Antonel's National Provider Identifier is 1023699477, issued on Apr 17, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tucson, AZ. The record was last updated on Oct 8, 2026.