Individual provider · Type 1 NPI

Jeannine L. Paquette, P.A.

Surgical Physician Assistant · Cottonwood, AZ

NPI number 1255458469 Active

Practice location

269 S Candy Ln
Cottonwood, AZ 86326-4158

Call (928) 634-1331 Map

Fax (928) 634-3130

Mailing address

1200 N Beaver St
Flagstaff, AZ 86001-3118

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X7412 (AZ)
Medical Physician Assistant 363AM0700X001475 (CT)
Surgical Physician Assistant Primary 363AS0400X7412 (AZ)

Surgical Physician Assistant: Definition to come...

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About NPI 1255458469

Jeannine L. Paquette, P.A.'s National Provider Identifier is 1255458469, issued on Mar 23, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Cottonwood, AZ. The record was last updated on Oct 20, 2026.