Jean Ernst Noel
Physician Assistant in Peoria, AZ. Individual provider (NPI-1).
NPI number1982254876
StatusActive
Last updated in NPPESDec 13, 2022
Details
- NPI
- 1982254876
- Entity type
- Individual (NPI-1)
- Name
- Jean Ernst Noel
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 12, 2019
- Certification date
- Dec 13, 2022
- Last updated
- Dec 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 8330 | AZ | Yes |
| 207Q00000X | Family Medicine | NJDCATEMP-000692 | NJ | |
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | 21-302 | WI | |
| 363A00000X | Physician Assistant | 429-P.A. | PR | |
| 363A00000X | Physician Assistant | NJDCATEMP-000305 | NJ |
Practice location
6739 W Cactus RdPeoria, AZ 85381-5311
Phone 833-242-0100
Mailing address
6739 W Cactus RdPeoria, AZ 85381-5311
Phone 833-242-0100
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