Doctor Name: | JESSICA SAWYER |
NPI Number: | 1225469380 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 51304 |
Business Practice Address: | 3919 Park Dr #80 El Dorado Hills, CA - 957624562 |
Business Phone Number: | 9168877921 |
Business Fax Number: | 9168877930 |
Mailing Address: | 10470 Old Placerville Rd, Suite 100 SACRAMENTO |
State: | CA |
Postal Code: | 958272539 |
Phone Number: | 8004700071 |
Fax Number: | |
NPI Enumeration Date: | 11/27/2013 |
NPI Last Update Date: | 04/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 51304 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |