Gavin Jepson, PA-C
Physician Assistant in Plymouth, MA. Individual provider (NPI-1).
NPI number1699447151
StatusActive
Last updated in NPPESOct 4, 2021
Details
- NPI
- 1699447151
- Entity type
- Individual (NPI-1)
- Name
- Gavin Jepson
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2021
- Certification date
- Oct 4, 2021
- Last updated
- Oct 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA8288 | MA | Yes |
Practice location
30 Aldrin RdPlymouth, MA 02360-4804
Phone 508-746-8977
Mailing address
30 Aldrin RdPlymouth, MA 02360-4804
Phone 508-746-8977
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