Healthcare Provider Details

I. General information

NPI: 1336757137
Provider Name (Legal Business Name): SABRINA J JAMIEL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2020
Last Update Date: 02/28/2025
Certification Date: 02/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3530 S VAL VISTA DR # B109-110
GILBERT AZ
85297-7318
US

IV. Provider business mailing address

14275 N 87TH ST STE 110
SCOTTSDALE AZ
85260-3696
US

V. Phone/Fax

Practice location:
  • Phone: 774-212-4113
  • Fax: 480-905-7274
Mailing address:
  • Phone: 480-905-8485
  • Fax: 480-905-7274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: