Individual provider · Type 1 NPI

Jacob E. Mefford, PA

Physician Assistant · Peoria, IL

NPI number 1689923013 Active

Practice location

221 NE Glen Oak Ave
Peoria, IL 61636-0001

Call (309) 672-5522 Map

Mailing address

Dept 960347
Oklahoma City, OK 73196-0347

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085004403 (IL)

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 1689923013

Jacob E. Mefford, PA's National Provider Identifier is 1689923013, issued on Aug 30, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Peoria, IL. The record was last updated on Jan 30, 2013.