Individual provider · Type 1 NPI

Jessica Broderick, PA-C

Physician Assistant · Atlanta, GA

NPI number 1700365103 Active

Practice location

1000 White St SW
Atlanta, GA 30310-2634

Call (404) 616-6000 Map

Mailing address

PO Box 636
Pine Lake, GA 30072-0636

Other practice locations

  • 1418 Scott Blvd, Decatur, GA 30030-1424 · (404) 446-1340

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X8887 (GA)

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 1700365103

Jessica Broderick, PA-C's National Provider Identifier is 1700365103, issued on Aug 7, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Atlanta, GA. The record was last updated on Oct 18, 2024.