Individual provider · Type 1 NPI

Jacqueline Bourassa Mundus, PA-C

Physician Assistant · Washington, DC

NPI number 1679972749 Active

Practice location

50 Irving St NW, Dermatology Department - Vamc
Washington, DC 20422-0001

Call (202) 745-8000 Map

Mailing address

1525 Wilson Blvd Ste 125
Arlington, VA 22209-2470

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XC0005468 (MD)
Physician Assistant Primary 363A00000X0110004669 (VA)

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 1679972749

Jacqueline Bourassa Mundus, PA-C's National Provider Identifier is 1679972749, issued on Aug 14, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Washington, DC. The record was last updated on Apr 8, 2021.