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

Mrs. Jenessa Wilson Griffin, PA-C

Individual provider Physician Assistant · NPI 1831515246

Mrs. Jenessa Wilson Griffin, PA-C is a Physician Assistant in Provo, Utah. Qualified in 2013, 13 years ago. Practices with Revere Health PC, a 410-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Utah.

Years since qualifying
13
Licensed in
AZ, UT
In the registry since
2014
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

395 W Bulldog Blvd
Provo, UT 84604-3311
Phone: (801) 357-7081
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1055 N 500 W Ste 101, Provo, UT 84604-3305 — (801) 373-4366

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11734006-1206 (UT)
Physician Assistant Taxonomy 363A00000X · Licence 6044 (AZ)

Record details

NPI number1831515246
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 10, 2014
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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