Individual provider · Type 1 NPI

Jennifer Carol Shoup, PAC

Physician Assistant · Kirkland, WA

NPI number 1487960878 Active

Practice location

11400 98th Ave NE Ste 200
Kirkland, WA 98033-4306

Mailing address

1802 S Union Ave, Suite 200
Tacoma, WA 98405-1947

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA60178872 (WA)

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 1487960878

Jennifer Carol Shoup, PAC's National Provider Identifier is 1487960878, issued on Aug 24, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Kirkland, WA. The record was last updated on Jan 28, 2025.