Healthcare Provider Details

I. General information

NPI: 1649421306
Provider Name (Legal Business Name): JENNIFER RENAE FRANCYK PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2008
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 E SHEA BLVD STE 100
PHOENIX AZ
85028-6031
US

IV. Provider business mailing address

4600 E SHEA BLVD STE 100
PHOENIX AZ
85028-6031
US

V. Phone/Fax

Practice location:
  • Phone: 602-955-8700
  • Fax: 602-553-8142
Mailing address:
  • Phone: 602-955-8700
  • Fax: 602-553-8142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number4279
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: