Individual provider · Type 1 NPI

Courtney M. Jaegle, PA

Physician Assistant · Peoria, IL

NPI number 1013196682 Active

Practice location

112 NE Crescent Ave
Peoria, IL 61606-1901

Fax (309) 672-4669

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0085003098 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1013196682

Courtney M. Jaegle, PA's National Provider Identifier is 1013196682, issued on Oct 30, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Peoria, IL. The record was last updated on Sep 28, 2020.