Individual provider · Type 1 NPI

Ashley L. Jack, PA-C

Physician Assistant · Centerville, GA

NPI number 1134493620 Active

Practice location

655 Seventh Street, Bldg 700
Centerville, GA 31028

Mailing address

105 Valencia Cir
Centerville, GA 31028-1339

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

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 1134493620

Ashley L. Jack, PA-C's National Provider Identifier is 1134493620, issued on Feb 29, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Centerville, GA. The record was last updated on May 12, 2015.