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

Mrs. Jamie Lynn Gillette, PA-C

Individual provider Physician Assistant · NPI 1538354162

Mrs. Jamie Lynn Gillette, PA-C is a Physician Assistant in Kingman, Arizona. Qualified in 2007, 19 years ago. Practices with La Laser Center PC a Professional Medical Corporation, a 80-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Arizona and Illinois.

Years since qualifying
19
Licensed in
AZ, IL
In the registry since
2007
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

3939 N Stockton Hill Rd
Kingman, AZ 86409-3247
Phone: (928) 662-9302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 2585 Miracle Mile Ste 120, Bullhead City, AZ 86442-7562 — (928) 514-2231
  • 4140 E Baseline Rd Ste 110, Mesa, AZ 85206-4413 — (626) 267-5025
  • 701 N 1st St, Springfield, IL 62781-0002 — (217) 788-3000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5456 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 085-003032 (IL)

Record details

NPI number1538354162
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 6, 2007
Last updated in NPPESAugust 12, 2021
Certification dateAugust 12, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice La Laser Center Pc A Professional Medical Corporation — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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