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

Individual provider Physician Assistant · NPI 1457800302

Juniper Dery-Chaffin, PA-C is a Physician Assistant in Phoenix, Arizona. Qualified in 2016, 10 years ago. Practices with Connections Southernaz, LLC, a 25-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
10
Licensed in
AZ
In the registry since
2016
Specialties on file
3
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

1515 E Osborn Rd
Phoenix, AZ 85014-5309
Phone: (602) 604-0000
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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 6500 (AZ)
Physician Assistant Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X · Licence 6500 (AZ)

Record details

NPI number1457800302
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 3, 2016
Last updated in NPPESNovember 21, 2024
Certification dateNovember 21, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Connections Southernaz, Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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