Individual provider · Type 1 NPI
Jessica Nicole Souther
Physician Assistant · Revere, MA
Practice location
21 Revere Beach Blvd Apt 505
Revere, MA 02151-3771
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | None listed |
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 1669306791
Jessica Nicole Souther's National Provider Identifier is 1669306791, issued on Jun 12, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Revere, MA. The record was last updated on Jun 12, 2026.