Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Scott Gervais, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1548999766

Jacob Scott Gervais, PA-C is a Student in an Organized Health Care Education/Training Program in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2022
Specialties on file
2
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

1331 N 7th St Ste 405
Phoenix, AZ 85006-2754
Phone: (602) 254-3151
Fax: (866) 939-2673
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9864 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1548999766
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 6, 2022
Last updated in NPPESFebruary 16, 2024
Certification dateFebruary 16, 2024

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