Individual provider · Type 1 NPI

Jessica Dettra, P.A.

Physician Assistant · Mesa, AZ

NPI number 1467774554 Active

Practice location

2550 N Thunderbird Cir, Suite 303
Mesa, AZ 85215-1215

Call (480) 289-7890 Map

Fax (866) 441-6493

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X4585 (AZ)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1467774554

Jessica Dettra, P.A.'s National Provider Identifier is 1467774554, issued on Feb 17, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Mesa, AZ. The record was last updated on Feb 17, 2010.