Nicole M. Jack PA-C

  • NPI 1083104137
According to our database, the NPI number for Nicole M. Jack PA-C is 1083104137 and activated since 5 years ago. Nicole M. Jack PA-C is an individual provider who specializes in Physician Assistant, and the primary practice location is 2500 W Reynolds St, Pontiac, IL 61764. You can also contact Nicole M. Jack PA-C via telephone number is (815) 844-5343. Provider NPI information was last updated on 06/18/2018.

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Overview of Nicole M. Jack PA-C

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 05/15/2018
  • Last updated: 06/18/2018

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 085006579
  • License State: IL

Provider Mailing Address

  • Address: 2500 W Reynolds St
    Pontiac, IL 61764
  • Phone: 815-844-5343
  • Fax: 815-844-5715

Provider Practice Location

  • Address: 2500 W Reynolds St
    Pontiac, IL 61764
  • Phone: 815-844-5343
  • Fax: 815-844-5715

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 085006579
  • License State: IL
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Nicole M. Jack PA-C?
  • A: The npi number for Nicole M. Jack PA-C is 1083104137.
  • Q: What are Nicole M. Jack PA-C's specialties?
  • A: Nicole M. Jack PA-C's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Nicole M. Jack PA-C?
  • A: The medical license number for Nicole M. Jack PA-C is 085006579 and issued in IL in USA.
  • Q: Where is Nicole M. Jack PA-C practice location?
  • A: Nicole M. Jack PA-C is practicing at 2500 W Reynolds St, Pontiac, IL 61764.
  • Q: How to contact Nicole M. Jack PA-C?
  • A: You can contact Nicole M. Jack PA-C via 815-844-5343.
Medicare Specialty
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