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

Individual provider Surgical Physician Assistant · NPI 1174863112

Jenna Brooke Prewitt, PA-C is a Surgical Physician Assistant in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2013.

Licensed in
AZ
In the registry since
2013
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

1950 S Country Club Dr Ste 101
Mesa, AZ 85210-6044
Phone: (480) 827-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5351 (AZ)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 5351 (AZ)

Record details

NPI number1174863112
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 28, 2013
Last updated in NPPESJune 5, 2019

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