Individual provider · Type 1 NPI

Jacob Smith, PA-C, ATC

Physician Assistant · Bloomington, IL

NPI number 1548675945 Active

Practice location

1111 Trinity Ln Ste 111
Bloomington, IL 61704-8112

Call (309) 663-6461 Map

Mailing address

611 W. Park St., Fapc
Urbana, IL 61801

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X085008559 (IL)
Physician Assistant Primary 363A00000X085008559 (IL)

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 1548675945

Jacob Smith, PA-C, ATC's National Provider Identifier is 1548675945, issued on Jun 24, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bloomington, IL. The record was last updated on Mar 30, 2022.