Search › Arizona › 363A00000X
Jarrod Roussel, PA.-C
NPI 1538134721 · on the registry since 2006
Practice
- Address
- 9700 N 91st St Ste A115
Scottsdale, AZ 85258 - Phone
- (888) 803-3370
- Fax
- (415) 779-8032
- Organisation at this address
- Upswng
Vedaot Llc
Akdhc, Llc
Neushape Llc
Wp Medical LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 60
Additional practice sites
- 21660 W Field Pkwy, Deer Park, IL
- 400 N Tampa St Fl 15, Tampa, FL
- 2800 Eisenhower Ave Ste 220, Alexandria, VA
- 555 Andover Park W Ste 200, Tukwila, WA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
363A00000X
363A00000X - Licence states on file
- FL, VA, IL, AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-31
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