Individual provider · Type 1 NPI

Jennifer A. Castelluccio, PAC

Physician Assistant · Maple Valley, WA

NPI number 1679561435 Active

Practice location

26458 Maple Valley Black Diamond Rd SE
Maple Valley, WA 98038

Call (425) 690-3460 Map

Fax (425) 690-9460

Mailing address

3600 Lind Ave SW, Suite 100 Attn Credentialing
Renton, WA 98057-4970

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XOA10000132 (WA)
Physician Assistant Primary 363A00000XOA10000132 (WA)

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 1679561435

Jennifer A. Castelluccio, PAC's National Provider Identifier is 1679561435, issued on Oct 6, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Maple Valley, WA. The record was last updated on Aug 17, 2021.