Healthcare Provider Details

I. General information

NPI: 1487446118
Provider Name (Legal Business Name): JESSICA ASTON PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2025
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1255 LIBERTY ST
REDDING CA
96001-0814
US

IV. Provider business mailing address

1391 S 1450 W
MAPLETON UT
84664-4539
US

V. Phone/Fax

Practice location:
  • Phone: 530-246-2467
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number68446
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: