| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JENNELLE LYNNE DALY | 1295233997 | 2024-11-09 |
Jennelle Lynne Suarez [F] graduated in 2017 and primarily specializes in Physician Assistant.
Jennelle Lynne Daly is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1295233997. Registration indicates Jennelle Lynne Daly is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Pain Medicine (Pain Medicine: Interventional Pain Medicine, ) (Specialist Network, ) (Pain Medicine Interventional Pain Medicine, Allopathic & Osteopathic Physicians) (Pain Medicine, ) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant: Medical, ) (All Other Specialties & Provider Types, ) (Physician Assistant Medical, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistant, ) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant: Medical, ) (All Other Specialties & Provider Types, ) (Physician Assistant Medical, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistant, ) (Allopathic & Osteopathic Physicians, Physical Medicine & Rehabilitation) (Physical Medicine & Rehabilitation: Sports Medicine, ) (Specialist Network, ) (Physical Medicine & Rehabilitation Sports Medicine, Allopathic & Osteopathic Physicians) (Physical Medicine & Rehabilitation, )
| PECOS ID | 4183971377 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Jennelle Lynne Daly PA-C |
| Practice Office Address | 9300 E RAINTREE DR STE 130 SCOTTSDALE, AZ US |
| Practice Office Telephone | 6026774312 |
| Mailing Address | 4842 E EMILE ZOLA AVE SCOTTSDALE, AZ 852543518 US |
| Business Telephone | 5616729209 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 100 S Military Trl Ste 10 | Deerfield Beach, FL 334423031 | 9544269600 |
| Code | Practice | License No State |
|---|---|---|
| 208VP0014X | Allopathic & Osteopathic Physicians Pain Medicine Pain Medicine: Interventional Pain Medicine Specialist Network Pain Medicine Interventional Pain Medicine Allopathic & Osteopathic Physicians Pain Medicine | 7105
AZ |
| 363AM0700X | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant: Medical All Other Specialties & Provider Types Physician Assistant Medical Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | 7105
AZ |
| 363AM0700X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant: Medical All Other Specialties & Provider Types Physician Assistant Medical Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | |
| 2081S0010X | Allopathic & Osteopathic Physicians Physical Medicine & Rehabilitation Physical Medicine & Rehabilitation: Sports Medicine Specialist Network Physical Medicine & Rehabilitation Sports Medicine Allopathic & Osteopathic Physicians Physical Medicine & Rehabilitation | 7105
AZ |
| 193200000X MULT | Group Code | |
| 193200000X MULT | Group Code | |
| 193200000X MULT | Group Code |