Individual provider · Type 1 NPI

Jenna Christina Distasio, PA

Physician Assistant · Roxbury Crossing, MA

NPI number 1215148606 Active

Practice location

91 Parker Hill Ave
Roxbury Crossing, MA 02120-3215

Fax (617) 754-6443

Mailing address

20 Guest St, Ste 225
Brighton, MA 02135-2065

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2229 (MA)

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 1215148606

Jenna Christina Distasio, PA's National Provider Identifier is 1215148606, issued on May 25, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Roxbury Crossing, MA. The record was last updated on Aug 19, 2020.