MS. JENNIFER RENEE DEPHILLIPS PA-C NPI 1316985823

NPI Information

NPI: 1316985823
Provider Name: MS. JENNIFER RENEE DEPHILLIPS, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: FLAGSTAFF CENTER FOR BONE AND JOINT DISORDERS

PECOS Registration: Yes

Address:
77 W FOREST AVE STE 301
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 773-2280
Get Directions

MS. Jennifer Renee Dephillips, PA-C is a surgical physician assistant in Flagstaff, AZ with 20 years of experience. MS. Jennifer Renee Dephillips, PA-C NPI is 1316985823. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

77 W FOREST AVE STE 301
FLAGSTAFF, AZ
ZIP 86001-483
Phone: (928) 773-2280

The NPI 1316985823 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 7/8/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		3332	ARIZONA	No
2	363AM0700X	Physician Assistant	Medical	3332	ARIZONA	No
3	363AS0400X	Physician Assistant	Surgical	3332	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	Q24308	MEDICARE UPIN	ARIZONA
2	977598	MEDICAID	ARIZONA
3	Z107449	MEDICARE PIN	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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