Individual provider · Type 1 NPI

Jeffrey D.t. Carroll, PAC

Medical Physician Assistant · Mount Vernon, WA

NPI number 1285169698 Active

Practice location

307 S 13th St Ste 300
Mount Vernon, WA 98274-4100

Call (360) 336-9757 Map

Fax (360) 814-5237

Mailing address

1400 E. Kincaid Street, Attn: Credentialing
Mount Vernon, WA 98274-4127

Other practice locations

  • 3823 172nd St NE, Arlington, WA 98223-7735 · (360) 618-5000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA60794256 (WA)
Medical Physician Assistant Primary 363AM0700XPA60794256 (WA)

Medical Physician Assistant: Definition to come...

21 other providers at this address

Other medical physician assistant providers in Mount Vernon

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About NPI 1285169698

Jeffrey D.t. Carroll, PAC's National Provider Identifier is 1285169698, issued on Apr 23, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Mount Vernon, WA. The record was last updated on Mar 17, 2018.