Provider Demographics
NPI:1407161698
Name:HARVEY, JESSICA HOPE (MA, PA-C)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:HOPE
Last Name:HARVEY
Suffix:
Gender:F
Credentials:MA, PA-C
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:HOPE
Other - Last Name:HARVEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, PA-C
Mailing Address - Street 1:2335 STOCKTON BLVD FL 6
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2201
Mailing Address - Country:US
Mailing Address - Phone:916-734-4728
Mailing Address - Fax:
Practice Address - Street 1:2279 45TH ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-1514
Practice Address - Country:US
Practice Address - Phone:512-630-3188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-11
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA08367363A00000X
CA21057363A00000X, 363A00000X
CAPA57983363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant