MEDICARE: JENNIFER A ALLISON PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	2616	AZ

General Provider Information

NPI Number	:	1093712994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER A ALLISON PA

Provider Business Mailing Address
First Line	:	5150 E GLENN ST
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-1337
Country	:	US
Telephone Number	:	520-795-7729
Fax Number	:	520-795-4177

Provider Business Practice Location Address
First Line	:	5150 E GLENN ST
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-1337
Country	:	US
Telephone Number	:	520-795-7729
Fax Number	:	520-795-4177

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	04/07/2014

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Directions to “ JENNIFER A ALLISON PA” Practice Location

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