Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jackie Anne Fonua, PA-C

Individual provider Family Medicine Physician · NPI 1336227206

Jackie Anne Fonua, PA-C is a Physician Assistant in West Jordan, Utah. Qualified in 1996, 30 years ago. Practices with Hunter Medical Center Inc, a 9-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
30
Licensed in
UT
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3354 W 7800 S
West Jordan, UT 84088-4506
Phone: (801) 282-2677
Fax: (801) 282-2050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 175335-1206 (UT)

Record details

NPI number1336227206
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Hunter Medical Center Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in West Jordan