MEDICARE: SARAH REBECCA JAHNIGE PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	9710	AZ

General Provider Information

NPI Number	:	1154011435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH REBECCA JAHNIGE PA-C

Provider Business Mailing Address
First Line	:	6130 N LA CHOLLA BLVD STE 200
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85741-3574
Country	:	US
Telephone Number	:	520-382-0458
Fax Number	:	520-382-0459

Provider Business Practice Location Address
First Line	:	6130 N LA CHOLLA BLVD STE 200
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85741-3574
Country	:	US
Telephone Number	:	520-382-0458
Fax Number	:	520-382-0459

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2023
Last Update Date	:	01/27/2026

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