Individual provider · Type 1 NPI

Jenna Brooke Prewitt, PA-C

Medical Physician Assistant · Mesa, AZ

NPI number 1174863112 Active

Practice location

1950 S Country Club Dr Ste 101
Mesa, AZ 85210-6044

Call (480) 827-5500 Map

Mailing address

8408 E Sage Dr
Scottsdale, AZ 85250-6740

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X5351 (AZ)
Medical Physician Assistant Primary 363AM0700X5351 (AZ)

Medical Physician Assistant: Definition to come...

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About NPI 1174863112

Jenna Brooke Prewitt, PA-C's National Provider Identifier is 1174863112, issued on Feb 28, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Mesa, AZ. The record was last updated on Jun 5, 2019.