Individual provider · Type 1 NPI
Jennifer Emily Mustard, PA
Medical Physician Assistant · Oakland, CA
NPI number
1063960268
Active
Practice location
744 52nd St Ste 4100
Oakland, CA 94609-1810
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | PA188794 (OR) |
| Medical Physician Assistant | 363AM0700X | PA188794 (OR) |
| Medical Physician Assistant Primary | 363AM0700X | PA60336 (CA) |
Medical Physician Assistant: Definition to come...
Another provider at this address
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About NPI 1063960268
Jennifer Emily Mustard, PA's National Provider Identifier is 1063960268, issued on Sep 15, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Oakland, CA. The record was last updated on Oct 16, 2024.