Individual provider · Type 1 NPI

Jordan Rae Dasilva, PA-C

Physician Assistant · Lawrenceville, GA

NPI number 1306243191 Active

Practice location

631 Professional Dr Ste 360
Lawrenceville, GA 30046-3370

Mailing address

635 Ora Ave SE Unit B
Atlanta, GA 30316-2145

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 1306243191

Jordan Rae Dasilva, PA-C's National Provider Identifier is 1306243191, issued on Nov 24, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lawrenceville, GA. The record was last updated on Jan 29, 2024.