Individual provider · Type 1 NPI

Jacob Vinson

Surgical Physician Assistant · Fresno, CA

NPI number 1396339974 Active

Practice location

2823 Fresno St
Fresno, CA 93721-1324

Call (559) 459-5194 Map

Fax (559) 459-3719

Mailing address

2625 E Divisadero St
Fresno, CA 93721-1431

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X59205 (CA)
Surgical Physician Assistant Primary 363AS0400X59205 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1396339974

Jacob Vinson's National Provider Identifier is 1396339974, issued on Feb 24, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fresno, CA. The record was last updated on Aug 5, 2021.