Healthcare Provider Details

I. General information

NPI: 1508276585
Provider Name (Legal Business Name): JESSICA L GHER D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JESSICA LEE SWAIN PRENTICE

II. Dates (important events)

Enumeration Date: 04/30/2014
Last Update Date: 01/09/2024
Certification Date: 09/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 S DOBSON RD STE 101
CHANDLER AZ
85224
US

IV. Provider business mailing address

655 S DOBSON RD STE 101
CHANDLER AZ
85224
US

V. Phone/Fax

Practice location:
  • Phone: 480-459-2555
  • Fax: 480-687-1802
Mailing address:
  • Phone: 480-459-2555
  • Fax: 480-687-1802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number007609
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: