Jacob Wayne Pankey, PA-C
Physician Assistant, Medical in Visalia, CA. Individual provider (NPI-1).
NPI number1962268656
StatusActive
Last updated in NPPESFeb 21, 2024
Details
- NPI
- 1962268656
- Entity type
- Individual (NPI-1)
- Name
- Jacob Wayne Pankey
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 21, 2024
- Certification date
- Feb 21, 2024
- Last updated
- Feb 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | – | – | Yes |
Practice location
1337 S Lovers Ln Ste DVisalia, CA 93292-5249
Phone 559-627-9901 · Fax 559-627-9906
Mailing address
1337 S Lovers Ln Ste DVisalia, CA 93292-5249
Phone 559-627-9901 · Fax 559-627-9906
Other practice locations
573 W Putnam Ave
Porterville, CA 93257-3270
Porterville, CA 93257-3270
Phone 559-781-1812 · Fax 559-781-3852
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All 16 Medical Physician Assistant providers in Visalia · All 5,100 providers in Visalia
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