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Contact Information

JENNIFER A FAYETTE, PA-C
3851 PIPER ST STE U462
ANCHORAGE, AK99508-6905
 Phone: 907-562-6262
 Fax: 907-562-6267
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JENNIFER A FAYETTE · (Female)

NPI Number 1851799027
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 12/19/2014
Last updated 12/11/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AK License # PADA1232
  • AK Medicaid 1627131
  • Other 13976534 CAQH
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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