Individual provider · Type 1 NPI
Jesse A. Stafford, P.A.-C
Medical Physician Assistant · Decatur, AR
NPI number
1316338361
Active
Practice location
346 N Main St
Decatur, AR 72722-9732
Fax (479) 752-3235
Mailing address
PO Box 735
Decatur, AR 72722-0735
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA-598 (AR) |
Medical Physician Assistant: Definition to come...
6 other providers at this address
- Sgoh Acquisition IncRural Health Clinic/Center Decatur, AR NPI 1699513507
- Laticia Kay Sheffield, APRNFamily Nurse Practitioner Decatur, AR NPI 1871013359
- Meghann R. Whatley, FNPFamily Nurse Practitioner Decatur, AR NPI 1134713027
- Mikia Kilcrease, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Decatur, AR NPI 1255039178
- Mitchell Atkins, APRNFamily Nurse Practitioner Decatur, AR NPI 1629493549
- Wesley Scott Whitacre, PSY.D.Psychologist Decatur, AR NPI 1982042180
About NPI 1316338361
Jesse A. Stafford, P.A.-C's National Provider Identifier is 1316338361, issued on Feb 12, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Decatur, AR. The record was last updated on Feb 12, 2015.