| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JESSICA L HOLMQUIST | 1700282308 | 2024-09-06 |
Jessica Holmquist [F] graduated in 2015 and primarily specializes in Physician Assistant.
Jessica L Holmquist is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1700282308. Registration indicates Jessica L Holmquist is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| PECOS ID | 2062717358 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Jessica L Holmquist PA-C |
| Practice Office Address | 13723 N LITCHFIELD RD STE 110 SURPRISE, AZ US |
| Practice Office Telephone | 6027550800 |
| Practice Office Fax | 6025602721 |
| Mailing Address | PO BOX 24981 BELFAST, ME 049152000 US |
| Business Telephone | 8449690686 |
| Business Fax | 7738327083 |
| Direct Messaging Address [] | [email protected] | Direct |
| Code | Practice | License No State |
|---|---|---|
| 363A00000X 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 Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | 6281
AZ |
| 193400000X SING | Group Code |