Individual provider · Type 1 NPI

Jill S. Vidrine, PA-C

Physician Assistant · Mansfield, OH

NPI number 1114200565 Active

Practice location

536 S Trimble Rd
Mansfield, OH 44906-3418

Call (419) 756-8899 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X50.003323 (OH)

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 1114200565

Jill S. Vidrine, PA-C's National Provider Identifier is 1114200565, issued on Sep 22, 2011. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Mansfield, OH. The record was last updated on Sep 22, 2011.