| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JESSICA JOY STANTON | 1710227970 | 2023-11-10 |
Jessica J Stanton [F] graduated in 2013 and primarily specializes in Physician Assistant.
Jessica Joy Stanton is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1710227970. Registration indicates Jessica Joy Stanton 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 | 4880839224 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Mrs. Jessica Joy Stanton PA-C |
| Practice Office Address | 2444 W FAIDLEY AVE GRAND ISLAND, NE US |
| Practice Office Telephone | 3083821100 |
| Practice Office Fax | 3083844306 |
| Mailing Address | PO BOX 550 GRAND ISLAND, NE 688020550 US |
| Business Telephone | 3083821100 |
| Business Fax | 3083844306 |
| 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 | 1721
NE |