Jennifer Godwin in Mesa - Physician Assistant
Jennifer Godwin - NPI 1063556355
Jennifer Godwin is a Physician Assistant in Mesa, Arizona. Jennifer Godwin practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jennifer Godwin is 1063556355. The last update date is 2007-07-18.
Jennifer Godwin's current location address is 6644 E Baywood Ave, Mesa, Arizona. You can contact this provider via phone number 4804612788 and fax number 4804612042. The mailing address for Jennifer Godwin is 6644 E Baywood Ave, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Godwin |
|---|---|
| Address | 6644 E Baywood Ave, Mesa, Arizona |
| Phone Number | 4804612788 |
| Fax Number | 4804612042 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1063556355 |
|---|---|
| Provider Enumeration Date | 2007-02-19 |
| Last Updated Date | 2007-07-18 |
Provider Mailing Address Detail
| Address | 6644 E Baywood Ave |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852061747 |
| Phone Number | 4804612788 |
| Fax Number | 4804612042 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 3562 |
|
Definition: 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 perfor |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jennifer Godwin by the Centers for Medicare & Medicaid Services?
The Jennifer Godwin has been assigned the NPI (National Provider Identifier) 1063556355 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Jennifer Godwin is located?
The Jennifer Godwin is situated at the following address: 6644 E Baywood Ave, Mesa, AZ, 852061747.
What is the Jennifer Godwin's specialty and taxonomy code?
The Jennifer Godwin's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
When did Jennifer Godwin receive its 1063556355 assignment?
The Jennifer Godwin was assigned its 1063556355 on 2007-02-19, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Jennifer Godwin most recently updated or revised?
The details related to Jennifer Godwin, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-18.