Individual provider · Type 1 NPI

Jared B. Cornelison, PA-C

Physician Assistant · Olympia, WA

NPI number 1093068595 Active

Practice location

3901 Capital Mall Dr SW, Ste A
Olympia, WA 98502-1178

Call (360) 786-8990 Map

Fax (360) 786-9010

Mailing address

PO Box 368
Olympia, WA 98507-0368

Other practice locations

  • 3901 Capital Mall Dr SW Ste B, Olympia, WA 98502-8654 · (360) 528-8571

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA60360929 (WA)

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 1093068595

Jared B. Cornelison, PA-C's National Provider Identifier is 1093068595, issued on Oct 22, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Olympia, WA. The record was last updated on May 27, 2026.