Provider Demographics
NPI:1518278688
Name:CAMARENA, JESSICA ALVAREZ (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:ALVAREZ
Last Name:CAMARENA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4038 S MOONEY BLVD
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-9306
Mailing Address - Country:US
Mailing Address - Phone:800-429-4227
Mailing Address - Fax:
Practice Address - Street 1:4038 S MOONEY BLVD
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-9306
Practice Address - Country:US
Practice Address - Phone:800-429-4227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-23
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA21001363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant