JESSICA MICKELSEN


Address: 910 W 5th Ave Ste 501, Spokane, WA 99204-2967
Phone: 5097555220

JESSICA MICKELSEN (NPI# 1508347378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508347378
Entity Type Individual
Full Name JESSICA MICKELSEN
Credential PA-C
Practice Address 910 W 5th Ave Ste 501
Spokane
WA 99204-2967
Practice Telephone 5097555220
Enumeration Date 2018-08-28
Last Update Date 2019-09-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA60971945 WA Physician Assistants & Advanced Practice Nursing Providers

Other Providers JESSICA MICKELSEN

NPI Name Taxonomy Address Enumeration
1275157554 Jessica Mickelsen Massage Therapist 13440 Parker Commons Blvd Ste 103, Fort Myers, FL 33912-1816 2020-06-03

Office Location

Street Address 910 W 5TH AVE STE 501
City SPOKANE
State WA
Zip Code 99204-2967

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669660379 Murali K Nalluri Internal Medicine 910 W 5th Ave Ste 501, Capital City Gastroenterology, PC, Spokane, WA 99204-2967 2007-10-09
1215397641 Abigail Klemme Dietitian, Registered 910 W 5th Ave Ste 501, Spokane, WA 99204-2967 2016-02-26
1396037016 Rachel Ghiorso Physician Assistant 910 W 5th Ave Ste 501, Spokane, WA 99204-2967 2011-05-13
1013168392 Miguel Enrique Ordonez Castellanos Internal Medicine 910 W 5th Ave Ste 501, Spokane, WA 99204-2966 2008-10-06
1265696553 Nicolas Alfonso Villa Guillen Internal Medicine 910 W 5th Ave Ste 501, Spokane, WA 99204-2967 2008-07-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982250957 Megan Elizabeth Dibenedetto Pharmacist 105 West 8th Avenue, 350e, Spokane, WA 99204 2019-08-14
1619521168 Evelyn R Cabon Genetic Counselor, MS 101 W. 8th Avenue Suite 1100, Spokane, WA 99204 2019-08-01
1346700655 Christina Rose Student in an Organized Health Care Education/Training Program 120 W. 8th Avenue, Spokane, WA 99204 2019-03-22
1508339862 Cody J French Physical Therapist Washington Outpatient Rehab, 507 S Washington, Spokane, WA 99204 2019-01-09
1730655598 Washington Outpatient Rehabilitation, LLC Physical Therapist 507 S. Washington St., Suite 10, Spokane, WA 99204 2018-10-19
1013405547 Joel James Hayden Student in an Organized Health Care Education/Training Program Providence Sacred Heart, 101 West 8th Avenue, Spokane, WA 99204 2018-04-30
1144694787 Brooksjohnsonpllc Dentist 1004 S. Monroe Street, Ste 100, Spokane, WA 99204 2015-11-19
1497184196 Kathalene M Cassels Physician Assistant 810 W. 5th Ave. Ste 510, Spokane, WA 99204 2013-11-04
1174880454 Kelly E Wurzel Psychiatry & Neurology 624 E. Front Ave, Spokane, WA 99204 2012-04-11
1003190331 Katie L Gomez Nurse Practitioner 805 W. 5th Ave, Suite 518, Spokane, WA 99204 2011-10-05
Find all providers in zip 99204

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033720495 Riley Richardson Physician Assistant 1008 E Windemere Ct, Spokane, WA 99223-6228 2020-08-11
1295189066 Thomas D Eskelsen Physician Assistant 910 W 5th Ave Ste 801, Spokane, WA 99204-2974 2016-04-19
1063818789 Jeffrey Jason Hershey Physician Assistant 6022 N Vista Ridge Ln, Spokane, WA 99217-5503 2014-11-06
1114345022 Lindsay Urso Physician Assistant 4001 N. Cook St, Riverstone Family Health, Spokane, WA 99207 2014-03-29
1891116216 Heather Stout Physician Assistant 605 E Holland Ave Ste 101, Spokane, WA 99218-1246 2014-01-02
1497184196 Kathalene M Cassels Physician Assistant 810 W. 5th Ave. Ste 510, Spokane, WA 99204 2013-11-04
1700218534 Terry Anne Noyes Physician Assistant 528 E Spokane Falls Blvd Ste 502, Spokane, WA 99202 2013-08-03
1710237003 Amber N Wilson Physician Assistant 1422 E Grassland Ct, Spokane, WA 99217-8700 2012-09-13
1669747275 Tiffany Lynn Forquer Physician Assistant 601 West Fifth Avenue, Suite 400, Spokane, WA 99204-2457 2012-03-14
1235420498 Lauren Patton Physician Assistant 9027 N Indian Trail Rd, Spokane, WA 99208-9116 2011-04-22
Find all providers in SPOKANE

Competitor

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City SPOKANE
Zip Code 99204

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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