Individual provider · Type 1 NPI

Jackeline Lucia Sepulveda, PA

Physician Assistant · Gilbert, AZ

NPI number 1790424968 Active

Practice location

2946 E Banner Gateway Drive
Gilbert, AZ 85234-2165

Call (480) 256-6444 Map

Fax (480) 256-4734

Mailing address

2940 E Banner Gateway Drive, Suite 450
Gilbert, AZ 85234-2165

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant Primary 363A00000X9903 (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 1790424968

Jackeline Lucia Sepulveda, PA's National Provider Identifier is 1790424968, issued on Jun 3, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Gilbert, AZ. The record was last updated on Feb 14, 2025.