Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Jessica Dettra, P.A.
Physician Assistant in Mesa, AZ · enumerated 2010.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1467774554
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Registry record
Entity type Individual (Type 1)
Name Jessica Dettra
Credential P.A.
Sex Female
Practice address 2550 N Thunderbird Cir, Suite 303, Mesa, AZ, 85215
Phone (480) 289-7890
Fax (866) 441-6493
Enumeration date Feb 17, 2010
Last updated in NPPES Feb 17, 2010
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 4585 (AZ) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program.
About the PA credential
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What specialty is Jessica Dettra?
Jessica Dettra is registered in NPPES with the primary taxonomy of Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
Other providers at this practice address
Browse all → Lois Brenneman Family Nurse Practitioner · Mesa, AZ NPI 1013981265 Robert Furman Internal Medicine Physician · Mesa, AZ NPI 1447277900 Martin Gruenberg Occupational Medicine Physician · Mesa, AZ NPI 1326139247 Tess Charles Physician Assistant · Mesa, AZ NPI 1013196484 Phytcare LLC Physical Medicine & Rehabilitation Physician · Mesa, AZ NPI 1730359498 Mindi Mirgeler Medical Physician Assistant · Mesa, AZ NPI 1437439361 Nextcare Primary Care South Texas Pllc Family Medicine Physician · Mesa, AZ NPI 1578921524
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-02-17.