Individual provider · Type 1 NPI

Kerri A. Jack, PA

Medical Physician Assistant · Pittsburgh, PA

NPI number 1407823958 Active

Practice location

5115 Centre Ave
Pittsburgh, PA 15232-1301

Call (412) 647-2811 Map

Mailing address

428 Lynn Ann Dr
New Kensington, PA 15068-9382

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA002234L (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1407823958

Kerri A. Jack, PA's National Provider Identifier is 1407823958, issued on Mar 3, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Pittsburgh, PA. The record was last updated on Mar 30, 2022.