Individual provider · Type 1 NPI

Jeanne M. Ellern, PAC

Medical Physician Assistant · Spokane Valley, WA

NPI number 1689636649 Active

Practice location

1807 N Hutchinson Rd
Spokane Valley, WA 99212-2444

Fax (509) 624-0763

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA10003760 (WA)
Surgical Physician Assistant 363AS0400XPA10003760 (WA)

Medical Physician Assistant: Definition to come...

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About NPI 1689636649

Jeanne M. Ellern, PAC's National Provider Identifier is 1689636649, issued on Apr 5, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Spokane Valley, WA. The record was last updated on Aug 14, 2014.