Individual provider · Type 1 NPI

Jessica Lynn Hansen, PAC

Surgical Physician Assistant · Tacoma, WA

NPI number 1396422754 Active

Practice location

1608 S J St Fl 5
Tacoma, WA 98405-4930

Call (253) 274-7505 Map

Fax (253) 274-7929

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA61503338 (WA)
Physician Assistant 363A00000XPA61503338 (WA)

Surgical Physician Assistant: Definition to come...

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About NPI 1396422754

Jessica Lynn Hansen, PAC's National Provider Identifier is 1396422754, issued on Jun 28, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Tacoma, WA. The record was last updated on Oct 22, 2024.