Arizona Advanced Aesthetics PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5493 Issued in AZ

Legal business name

ARIZONA ADVANCED AESTHETICS PLLC

Practice address

4527 N 27TH Ave
Phoenix, AZ 85017-3702

Phone

(602) 249-4508

NPI assigned

Jan 3, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jennessa Hussey, DO

Title

Owner

Phone

(602) 249-4508

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1386948552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4527 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850173702",
            "telephone_number": "602-249-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4527 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850173702",
            "telephone_number": "602-249-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA ADVANCED AESTHETICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "HUSSEY",
        "authorized_official_first_name": "JENNESSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-249-4508",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "5493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.