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

Jessica Dettra, PA

Individual provider Physician Assistant · NPI 1467774554

Jessica Dettra, PA is a Physician Assistant in Mesa, Arizona. Qualified in 2009, 17 years ago. Practices with Good Health Medical PLLC, a 218-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
17
Licensed in
AZ
In the registry since
2010
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2550 N Thunderbird Cir Ste 303
Mesa, AZ 85215-1215
Phone: (480) 289-7890
Fax: (866) 441-6493
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4585 (AZ)

Record details

NPI number1467774554
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 17, 2010
Last updated in NPPESFebruary 17, 2010

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Good Health Medical Pllc — 218 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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