Individual provider · Type 1 NPI

Autumn Childress

Physician Assistant · Jersey City, NJ

NPI number 1669399556 Active

Practice location

475 Communipaw Ave
Jersey City, NJ 07304-5401

Call (248) 990-8572 Map

Mailing address

132A Stanhope St Apt 1A
Brooklyn, NY 11221-3407

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 1669399556

Autumn Childress's National Provider Identifier is 1669399556, issued on Jul 1, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Jersey City, NJ. The record was last updated on Aug 15, 2026.