Individual provider · Type 1 NPI

Lexie Catherine Grimm Jackowski, PA

Physician Assistant · Cumberland, MD

NPI number 1689317596 Active

Practice location

1050 W Industrial Blvd Ste 17
Cumberland, MD 21502-4331

Call (240) 964-9300 Map

Fax (240) 964-9310

Mailing address

13406 Pershing St
Cumberland, MD 21502-5312

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone 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 1689317596

Lexie Catherine Grimm Jackowski, PA's National Provider Identifier is 1689317596, issued on Apr 18, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Cumberland, MD. The record was last updated on Mar 20, 2026.