Jessica Ashley Preston, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601003868 Issued in MI

Practice address

2100 Monroe St
Dearborn, MI 48124-2923

Phone

(313) 278-3900

Fax

(313) 278-4821

NPI assigned

Feb 5, 2007

Last updated

Jul 23, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1982743209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5661 MUNGER RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481979032",
            "telephone_number": "734-434-8657",
            "fax_number": "313-278-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242923",
            "telephone_number": "313-278-3900",
            "fax_number": "313-278-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTON",
        "first_name": "JESSICA",
        "middle_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601003868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premiere Home Health, LLC
• Premium Pharmacy LLC
• Bethany Preston
• Danny L Preston, CSA
• Giselle Preston
• Preventative Solutions LLC
• Tara Prevost
• Matthew Price, M.D.
• Melissa Price
• Michael T Price, PA-C

• Medical Physician Assistant in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.