Individual provider · Type 1 NPI

Katie Jackley, PA-C

Surgical Physician Assistant · Pittsburgh, PA

NPI number 1184680167 Active

Practice location

320 E North Ave Ste 208
Pittsburgh, PA 15212-4756

Fax (412) 359-6617

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XMA051828 (PA)
Physician Assistant 363A00000XPA18658 (CA)
Medical Physician Assistant 363AM0700XPA18658 (CA)
Surgical Physician Assistant 363AS0400XPA18658 (CA)
Surgical Physician Assistant Primary 363AS0400XMA051828 (PA)

Surgical Physician Assistant: Definition to come...

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About NPI 1184680167

Katie Jackley, PA-C's National Provider Identifier is 1184680167, issued on Apr 26, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Pittsburgh, PA. The record was last updated on Jul 28, 2021.