Healthcare Provider Details

I. General information

NPI: 1730099920
Provider Name (Legal Business Name): JESSA VIRGINIA PLANT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14362 N FRANK LLOYD WRIGHT BLVD STE 1000
SCOTTSDALE AZ
85260-8847
US

IV. Provider business mailing address

14362 N FRANK LLOYD WRIGHT BLVD STE 1000
SCOTTSDALE AZ
85260-8847
US

V. Phone/Fax

Practice location:
  • Phone: 415-730-3310
  • Fax:
Mailing address:
  • Phone: 415-730-3310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: