Individual provider · Type 1 NPI

Jason Robert Hannibal, PA-C

Physician Assistant · Camp Lejeune, NC

NPI number 1043811201 Active

Practice location

100 Brewster Blvd
Camp Lejeune, NC 28547-2575

Call (910) 450-4357 Map

Other practice locations

  • 80 Seymour St, Hartford, CT 06102-8000 · (860) 972-0000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X7250 (CT)
Physician Assistant 363A00000X60480 (CA)

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 1043811201

Jason Robert Hannibal, PA-C's National Provider Identifier is 1043811201, issued on Nov 4, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Camp Lejeune, NC. The record was last updated on Dec 17, 2025.