Individual provider · Type 1 NPI
Jerrica Park, PA-C
Community/Behavioral Health Agency · Flagstaff, AZ
Practice location
1120 W University Ave Ste 101
Flagstaff, AZ 86001-2851
Fax (928) 522-1301
Mailing address
PO Box 3630
Flagstaff, AZ 86003-3630
Other practice locations
- 2100 Statham Blvd, Oxnard, CA 93033 · (805) 920-7021
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency Primary | 251S00000X | None listed |
| Physician Assistant | 363A00000X | 9452 (AZ) |
| Physician Assistant | 363A00000X | 65593 (CA) |
Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…
5 other providers at this address
- El Rio Santa Cruz Neighborhood Health Center IncFederally Qualified Health Center (FQHC) Flagstaff, AZ NPI 1538016282
- Alexis Berger, LACMental Health Counselor Flagstaff, AZ NPI 1740097351
- Emily R. Lieder, DOFamily Medicine Physician Flagstaff, AZ NPI 1497070429
- Jane ZuccolilloPhysician Assistant Flagstaff, AZ NPI 1295460020
- Jennifer Ekdahl Cortes, MDInternal Medicine Physician Flagstaff, AZ NPI 1225204381
About NPI 1245821669
Jerrica Park, PA-C's National Provider Identifier is 1245821669, issued on Jan 28, 2021. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Flagstaff, AZ. The record was last updated on Jun 17, 2026.