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Search › Arizona › Community/Behavioral Health Agency

Jerrica Park, PA-C

NPI 1245821669 · on the registry since 2021 · sole proprietor

Practice

Address
1120 W University Ave Ste 101
Flagstaff, AZ 86001
Phone
(928) 522-1300
Fax
(928) 522-1301
Organisation at this address
Trans Intimate
Vibrant Aba Az Llc
Blue Gems Aba Az Llc
Way Above Aba Az Llc
Way Above Aba Az Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Additional practice sites

  • 2100 Statham Blvd, Oxnard, CA

Registry record

Primary taxonomy
Community/Behavioral Health Agency
251S00000X
Also registered as
Physician Assistant
Physician Assistant
Licence states on file
AZ, CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-06-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona