Provider Profile

Jerrica Park, PA-C

Unclaimed Profile

About Jerrica Park

Jerrica Park, PA-C practices community/behavioral health agency in Flagstaff, AZ. Jerrica is also listed as specializing in physician assistant.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it — free, and no identity document with a practice or institutional email.

Specialty

Community/Behavioral Health Agency (Primary)
Physician Assistant (Additional)
Physician Assistant (Additional)

Credentials & Licensing

AZ license9452
CA license65593
NPI1245821669
NPI issued01/28/2021

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Jerrica Park?

Jerrica Park is a community/behavioral health agency in Flagstaff, AZ. That is the designation recorded for this NPI in the federal registry.

NPI registry

What is Jerrica Park's address?

Jerrica Park is listed at 1120 W University Ave Ste 101, Flagstaff, AZ 86001. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Jerrica Park?

The number on file is (928) 522-1300. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is the NPI for Jerrica Park?

Jerrica Park's National Provider Identifier is 1245821669. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How much experience does Jerrica Park have?

Jerrica Park has 5+ years experience. Registered with an NPI since 2021. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Is Jerrica Park's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Jerrica Park. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.