Jesse Robert McAllister, PA-C
Physician Assistant in Portsmouth, VA. Individual provider (NPI-1).
NPI number1881920809
StatusActive
Last updated in NPPESOct 22, 2024
Details
- NPI
- 1881920809
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jesse Robert McAllister
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 27, 2009
- Certification date
- Oct 22, 2024
- Last updated
- Oct 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 9105921 | FL | Yes |
| 363A00000X | Physician Assistant | 5601005681 | MI |
Practice location
4000 Coast Guard BlvdPortsmouth, VA 23703-2135
Phone 757-483-8596
Mailing address
4000 Coast Guard BlvdPortsmouth, VA 23703-2135
Phone 757-483-8422 · Fax 757-686-2122
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All 64 Physician Assistant providers in Portsmouth · All 3,843 providers in Portsmouth
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