Jessie Sumner, PA-C
Physician Assistant in Madera, CA. Individual provider (NPI-1).
NPI number1346351764
StatusActive
Last updated in NPPESApr 23, 2024
Details
- NPI
- 1346351764
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jessie Sumner
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2006
- Certification date
- Apr 23, 2024
- Last updated
- Apr 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | pa13433 | CA | Yes |
| 363A00000X | Physician Assistant | 1028699 | CA |
Practice location
1130 Country Club Dr Ste EMadera, CA 93638-2691
Phone 559-664-4000 · Fax 559-615-5224
Mailing address
344 E 6th StMadera, CA 93638-3631
Phone 559-664-4000 · Fax 559-675-5224
Other practice locations
505 E Almond Ave Ste 101
Madera, CA 93637-5745
Madera, CA 93637-5745
Phone 559-664-4000 · Fax 559-675-5661
344 E 6th St
Madera, CA 93638-3631
Madera, CA 93638-3631
Phone 559-664-4000
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