Individual provider · Type 1 NPI

Jaclyn Renee Withrow, PA-C

Physician Assistant · Royal Oak, MI

NPI number 1629625546 Active

Practice location

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

Call (248) 898-5000 Map

Fax (248) 898-0015

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601009625 (MI)

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 1629625546

Jaclyn Renee Withrow, PA-C's National Provider Identifier is 1629625546, issued on Aug 26, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Royal Oak, MI. The record was last updated on Aug 28, 2026.