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

Individual provider Physician Assistant · NPI 1427325638

Mrs. Jeanette C. Bannister, PA-C is a Physician Assistant in Goodyear, Arizona. Qualified in 2011, 15 years ago. Practices with Regency Skin Institute PLLC, a 14-clinician group. Licensed in Arizona and Indiana.

Years since qualifying
15
Licensed in
AZ, IN
In the registry since
2011
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

13677 W McDowell Rd
Goodyear, AZ 85395-2635
Phone: (623) 536-4200
Fax: (623) 935-0304
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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 5411 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 10001343A (IN)

Record details

NPI number1427325638
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 17, 2011
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Regency Skin Institute Pllc — 14 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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