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

Individual provider Physician Assistant · NPI 1760088009

Jacqueline Marie Harrison, PA-C is a Physician Assistant in Phoenix, Arizona. Qualified in 2020, 6 years ago. Practices with Kelly H Roy MD PC, a 28-clinician group, works from 7 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
6
In the registry since
2020
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

1008 E McDowell Rd Ste A
Phoenix, AZ 85006-2603
Phone: (602) 358-8588
Fax: (602) 688-6991
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (6)

  • 1151 N Gilbert Rd, Mesa, AZ 85203-5127 — (602) 358-8588
  • 1919 E McKellips Rd Ste 106, Mesa, AZ 85203-2855 — (602) 358-8588
  • 10555 N Tatum Blvd Ste A101, Paradise Valley, AZ 85253-1096 — (602) 358-8588
  • 2222 E Highland Ave Ste 205, Phoenix, AZ 85016-4876 — (602) 358-8588
  • 702 E Bell Rd Ste 119, Phoenix, AZ 85022-6639 — (602) 358-8588
  • 10115 E Mountain View Rd Unit 2068, Scottsdale, AZ 85258-6317 — (480) 310-6934

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1760088009
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 10, 2020
Last updated in NPPESNovember 1, 2023
Certification dateNovember 1, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Kelly H Roy Md Pc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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