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Physician Assistant, Surgical

JESSIANN ANDRUS PA

Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.

Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.

Public record

NPI 1417382789 · enumerated 2013-09-05 · record updated 2021-10-16. Source: CMS NPPES. A listing is not a TRICARE network approval.

Addresses and phones

Specialties

  • Physician Assistant 363A00000X · License 6377270-1206 UT
  • Physician Assistant, Surgical 363AS0400X · Primary · License 6377270-1206 UT

Locations and evidence

  • Practice location SALT LAKE CITY, UT, 841323021
    Accepting new patientsNot reportedCMS NPPES · September 30, 2026

Plan acceptance

  • No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.