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

Mrs. Jessica Mae Moody, PHYSICIANASSISTANT

Individual provider Surgical Physician Assistant · NPI 1043349400

Mrs. Jessica Mae Moody, PHYSICIANASSISTANT is a Surgical Physician Assistant in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
Specialties on file
2

Practice location Address checks out

11201 N Tatum Blvd Ste 300
Phoenix, AZ 85028-6039
Phone: (480) 900-3556
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 3474 (AZ)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 3474 (AZ)

Record details

NPI number1043349400
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedMarch 3, 2007
Last updated in NPPESMarch 31, 2023
Certification dateMarch 31, 2023

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