Individual provider · Type 1 NPI

Jordan Lidsky-Everson, PA-C

Physician Assistant · Meriden, CT

NPI number 1508570367 Active

Practice location

435 Lewis Ave
Meriden, CT 06451-2101

Mailing address

291 Humphrey St Unit 5
New Haven, CT 06511-3998

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1192541 (CT)

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 1508570367

Jordan Lidsky-Everson, PA-C's National Provider Identifier is 1508570367, issued on Jan 6, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Meriden, CT. The record was last updated on Jan 6, 2023.